Sepsis and Hallucinations

Hallucinations are the perception of something that doesn’t exist. They can be auditory (heard), visual (seen), tactile (felt) or olfactory (smelled).

These hallucinations can have many causes. The most common causes are recreational drugs and dementia or delirium but they can also be caused by high fevers or certain illnesses. Some people who have survived serious, life-threatening illnesses, like septic shock, report having very vivid hallucinations while they were in the intensive care unit (ICU).

Hallucinations are often very disturbing and the memories can last, but scientists don’t understand them. A few researchers are looking at how often hallucinations occur among critically ill patients. One study looked at 289 critically ill patients who had been in an ICU for 24 hours or longer and been sedated and intubated (placed on a ventilator). The researchers found that 9.3% of the patient had nightmares and 6.6% said that they had experienced hallucinations. For some people, the hallucinations continue, even after they are no longer in the ICU environment. Another study found that after leaving the critical care area, some patients experienced, “amnesia, continued hallucinations or flashbacks, anxiety, depression, and dreams and nightmares.”

Hallucinations are also a change in mental status. This could be a sign of sepsis.

Sepsis, which was often called blood poisoning, is the body’s life-threatening response to infection. Like strokes or heart attacks, sepsis is a medical emergency that requires rapid diagnosis and treatment.

Suggested Citation:
Sepsis Alliance. Sepsis and Hallucinations. 2024. https://www.sepsis.org/sepsisand/hallucinations/

Updated January 2024.

 

More About Hallucinations

Possible Causes

There are theories as to why patients may experience hallucinations, but there are no clear explanations yet. Patients in an ICU are not only fighting a very serious illness, they don’t get a lot of rest. Nursing care is necessary and frequent, and lights are on in the hallways. Even with dimmed lights, patients might not be able to sleep. There is a lot of noise that comes from nurses moving about and talking, machines operating, and alarms beeping. The constant stimulation often causes sleep deprivation. Serious lack of sleep can cause psychological distress.

Treatment

If you are having a hard time dealing with the after effects of sepsis, which can include bad dreams, hallucinations, even memories of the hallucinations, this could be part of post-traumatic stress disorder, or PTSD. There are counselors and therapists who specialize in treating PTSD. They may use a variety of methods, including cognitive therapy, tapping techniques, or eye movement desensitization reprocessing (EMDR). Counseling can be an important component of full recovery from sepsis.

Related Resources

Paul Hoium

On December 10 2023, I started feeling a little short of breath and very tired and weak. Since I also have congestive heart failure, I was monitoring these symptoms closely. Things worsened over the next couple of days until the 12th on which date I realized I could barely breathe and so weak I could barely make it to the phone to call for an ambulance. I remember the firefighters lifting me on to a gurney and into the ambulance and them talking about my O2 level being 79 and that would prove to be the last coherent memory I ... Read Full Story

Submit Your StoryView More Stories

Erin C.

Diagnosed with uterine carcinosarcoma August 2018, followed by radical hysterectomy. Was stage 1B very aggressive grade 3-4. Port surgically implanted and started chemo. Having completed 9 of 18 chemotherapy infusions, next I was on a 4 week break, before undergoing 30 rounds of radiation. (Sepsis and Cancer) My ninth infusion was the day before Thanksgiving 2018. Around the first week of December, I felt as if I had twisted my right ankle. That lasted a few days, then I was driving home from the grocery store and I turned my head to the right, to double check my lane change, ... Read Full Story

Submit Your StoryView More Stories

Mariane G.

In October 2023 I was at work and noticed that my urine was very orange at that time. I thought I was just very dehydrated but I was actually internally bleeding. Collapsed at work, had fevers was vomiting and was in excruciating pain as well as having very strange hallucinations! (Sepsis and Hallucinations) I had no idea what was going on. I ended up in hospital after colleague and my husband found me! I ended up having to have surgery the day after because I had become septic and had acute kidney failure, and my liver was also starting to ... Read Full Story

Submit Your StoryView More Stories

Daniel Hernandez

It was in 2013, early October when I went to our office blood drive. I am an avid donor because I am O+, but my blood donation was rejected. I was surprised as I donated many gallons before. It was found that my iron level was extremely low and they suggested I see my personal physician ASAP. I had noticed some episodes of extreme fatigue. Blood tests at my doctor’s office confirmed my extremely low iron levels and my doctor said it appeared I was bleeding internally. He scheduled a colonoscopy and endoscopy within the next couple of days because ... Read Full Story

Submit Your StoryView More Stories

Gemma Stables

So I have a long term condition I was diagnosed with at 18 called ‘familial visceral neuropathy’. The main problem I always had throughout my late teens and 20s was pain. I had years and years of horrific stomach pains, on and off for the best part of 10 years. I tried everything to reduce the pain and would always try to still live my life and do the things I wanted to do, trying to find ways to deal with it. Sometimes successfully and other times not. Sometimes though I had to miss things because the pain was too ... Read Full Story

Submit Your StoryView More Stories

Other Topics

Hallucinations