Septic shock induced by extracorporeal shock wave lithotripsy treatment with percutaneous nephrostomy in 5 cases with urolithiasis
Tahara, H.; Katoh, Y.; Yano, H.; Kanbara, N.; Kohri, K.; Kurita, T.
Hinyokika Kiyo. Acta Urologica Japonica 39(12): 1119-1124
1993
ISSN/ISBN: 0018-1994 PMID: 8285159 Document Number: 410936
We have experienced 5 cases of septic shock induced by extracorporeal shock wave lithotripsy (ESWL) and percutaneous nephrostomy. We suspected 5 causes of septic shock; severe hydronephrosis, nephrostomy tube itself, an increase of intrarenal pressure, bacteria in urinary stone, and hepatic failure. Based on the above suspected causes of septic shock, we suggested 3 prophylactic treatments for septic shock; a preventive administration of antibiotics before ESWL and percutaneous nephrostomy, proper management of nephrostomy tube, and early diagnosis and treatment for septic shock.