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

• Kim JW
• Jeong HK
• Park JJ
• Chae JY
• Park HS
• Moon DG
• Oh MM

• KMID: 2350759
• DOI: http://doi.org/10.14777/uti.2016.11.2.66

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

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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.

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.