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

Jong Wook Kim; Hyoung Kook Jeong; Jong Jin Park; Ji Yun Chae; Hong Seok Park; Du Geon Moon; Mi Mi Oh

doi:10.14777/uti.2016.11.02.66

Journal List > Urogenit Tract Infect > v.11(2) > 1084205

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Kim, Jeong, Park, Chae, Park, Moon, and Oh: Unexpected Septic Shock after Ureteroscopic Lithotripsy in a Patient Preoperatively Treated for a Urinary Tract Infection

Case Report

Urogenit Tract Infect 2016;11(2):66-68.

Published online: 19 January 2016

DOI: https://doi.org/10.14777/uti.2016.11.02.66

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

Jong Wook Kim, Hyoung Kook Jeong, Jong Jin Park, Ji Yun Chae, Hong Seok Park, Du Geon Moon, Mi Mi Oh

Department of Urology, Korea University Guro Hospital, Seoul, Korea

Correspondence to: Mi Mi Oh http://orcid.org/0000-0002-1232-2598 Department of Urology, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul 08308, Korea Tel: +82-2-2626-1310, Fax: +82-2-2626-1321 E-mail: mamah@hanmail.net

Received 15 March 2016 Revised 13 June 2016 Accepted 5 July 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Shock, septic, Urinary stone, Urinary tract infections

REFERENCES

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.

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.

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.

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