英文原文：
Clinicalpresentationsvarywidely,withorwithoutsystemicmanifestationsofaninfectionorinflammatorydisorder.Cardiogenicormixedcardiogenicanddistributiveshockmaydeveloprapidly,oftensoonafterfirstmedicalcontact.
翻译
临床表现差异很大，有或没有全身表现的感染或炎症性疾病。心源性或混合性心源性和分布性休克可能进展迅速，往往在第一次医疗就诊后不久发生。
英文原文：
Thefulminantpresentationmaybeamarkerofamorerobustimmunological/inflammatoryresponseindicativeofmoreeffectiveviralclearanceandthuspredictiveofeventual