The lung is the most common primary organ of injury, manifested by pulmonary dysfunction
and presents before any evidence of other organ dysfunction. Other organ systems
that are frequently involved during the early development of MODS include the liver,
intestines, and kidneys. Hematologic and myocardial dysfunction are late manifestations
of MODS. Neurologic sequelae, most commonly encephalopathy, may present early
or late in the syndrome's progress.