Which of the following is least likely to be a common symptom of sepsis?

• A. Fever
• B. High BP
• C. Tachycardia
• D. Confusion

Answer: (B)

Sepsis triggers a widespread inflammatory response that disrupts perfusion and organ function. Fever or hypothermia is a common sign as the body fights infection, and a fast heart rate (tachycardia) often accompanies this systemic stress. Confusion or altered mental status is also frequently seen due to decreased brain perfusion and inflammatory effects on the nervous system. Blood pressure, on the other hand, tends to fall as sepsis progresses, because of vasodilation and increased vascular permeability leading to septic shock. Because of this, high blood pressure is not a typical or common feature of sepsis. It would be unusual and usually indicates a different issue or a non-sh septic state rather than the usual sepsis pattern.