Urogenit Tract Infect.  2016 Aug;11(2):66-68. 10.14777/uti.2016.11.2.66.

Unexpected Septic Shock after Ureteroscopic Lithotripsy in a Patient Preoperatively Treated for a Urinary Tract Infection

Affiliations
  • 1Department of Urology, Korea University Guro Hospital, Seoul, Korea. mamah@hanmail.net

Abstract

We describe a case of life-threatening septic shock after ureteroscopic lithotripsy. Prior to surgery, the patient had a confirmed sterile urine culture posttreatment for a urinary tract infection due to extended spectrum beta-lactamase-positive Escherichia coli.

Keyword

Shock, septic; Urinary stone; Urinary tract infections

MeSH Terms

Escherichia coli
Humans
Lithotripsy*
Shock, Septic*
Urinary Calculi
Urinary Tract Infections*
Urinary Tract*

Figure

  • Fig. 1. (A) A plain radiograph image of a 2 cm radiopaque stone in the right renal pelvis. (B) After ureteroscopic lithotripsy, the stone was no longer present.


Reference

1.Kamei J., Nishimatsu H., Nakagawa T., Suzuki M., Fujimura T., Fukuhara H, et al. Risk factors for septic shock in acute obstructive pyelonephritis requiring emergency drainage of the upper urinary tract. Int Urol Nephrol. 2014. 46:493–7.
Article
2.Mariappan P., Smith G., Bariol SV., Moussa SA., Tolley DA. Stone and pelvic urine culture and sensitivity are better than bladder urine as predictors of urosepsis following percutaneous nephrolithotomy: a prospective clinical study. J Urol. 2005. 173:1610–4.
Article
3.Tambo M., Okegawa T., Shishido T., Higashihara E., Nutahara K. Predictors of septic shock in obstructive acute pyelonephritis. World J Urol. 2014. 32:803–11.
Article
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