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10 signs of blood infection: what you need to know

Learn how to identify the 10 critical signs of a blood infection, also known as sepsis. From fever and rapid heart rate to confusion and skin changes, this guide helps you understand the early warning signs that can save lives.
4 minutes
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Blood Infection
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April 17 2025
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Medical
Alessia Casali

A blood infection, also known as septicemia or sepsis, is a critical medical emergency that arises when bacteria or other pathogens enter the bloodstream and trigger a systemic immune response. If left untreated, it can lead to organ failure, septic shock, and death. Despite its severity, many people are unaware of the early signs. In this article, we dive deep into the 10 signs of blood infection, what they mean, and when to seek medical attention.

What is a blood infection?

A blood infection isn't a standalone disease—it usually stems from an existing localized infection (like pneumonia, urinary tract infection, or cellulitis) that spreads. When these pathogens reach the bloodstream, they can overwhelm the body’s natural defenses, leading to widespread inflammation, clotting abnormalities, and organ dysfunction.

Understanding these warning signs allows for quicker recognition and response, which can be life-saving.

1. fever or chills

A temperature above 38°C (100.4°F) is often one of the first symptoms. Chills or uncontrollable shivering may follow, especially if the fever spikes quickly. Persistent or sudden-onset fevers warrant medical evaluation, particularly in people with other signs of systemic illness.

2. rapid breathing

Rapid breathing (more than 20 breaths per minute at rest) is a compensatory response to maintain oxygen levels in the blood. It’s also a red flag that the body is under extreme stress.

3. increased heart rate

Tachycardia (heart rate over 100 bpm in adults) is another systemic response. The heart pumps faster to circulate oxygen and immune cells throughout the body. If you're experiencing a racing heart without physical activity, it could signal internal inflammation.

4. low blood pressure

As blood vessels dilate in response to inflammation, blood pressure drops, reducing oxygen supply to organs. This is particularly dangerous and can lead to septic shock.

5. confusion or disorientation

When oxygen delivery to the brain is compromised, people may become confused, have trouble focusing, or even lose consciousness. Cognitive changes are a major sign of sepsis, especially in older adults.

6. cold, pale, or clammy skin

Reduced circulation to the skin is a sign that the body is prioritizing vital organs. This may result in cold hands and feet, clammy skin, or a noticeable change in skin tone (often pale or mottled).

7. decreased urine output

The kidneys are often among the first organs to suffer in sepsis. If you notice a significant reduction in urination, it may indicate kidney dysfunction, dehydration, or impending organ failure.

8. nausea, vomiting, or diarrhea

Although often overlooked, gastrointestinal symptoms can be the body’s response to sepsis. Nausea or vomiting may reduce your ability to stay hydrated, exacerbating the condition.

9. muscle pain or general malaise

Many patients report intense muscle aches or a sense of deep discomfort. This reflects the body’s systemic inflammatory response and may resemble the flu in early stages.

10. skin rash or red spots

In some cases, sepsis causes visible changes in the skin, including rashes, tiny red spots (petechiae), or purplish discolorations (purpura). These may signal clotting disorders and should be taken seriously.

When to seek help

If you or someone around you shows multiple symptoms from this list—especially confusion, fever, rapid breathing, or low blood pressure—go to the emergency room immediately. Time is critical: the risk of death from sepsis increases every hour without treatment.

Learn more about related conditions

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