Severe sepsis following extracorporeal shock wave lithotripsy.
case_report · Level V
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Abstract
A patient with life-threatening sepsis following extracorporeal shock wave lithotripsy (ESWL*) is described. The urosepsis was complicated by meningitis and diffuse metastatic endophthalmitis necessitating enucleation of the right eye. Retinal detachment occurred in the left eye following focal endophthalmitis and the operation yielded a poor functional result. The patient was discharged from the hospital 3 months after the ESWL therapy, free of urinary stones. The etiology, treatment and prophylaxis of this serious problem are discussed.
Medical subject headings
- Kidney Calculi
- Klebsiella Infections
- Lithotripsy
- Sepsis
- Urinary Tract Infections