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