Severe sepsis following extracorporeal shock wave lithotripsy.
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.
Silber
N
N
Department of Urology, Beilinson Medical Center, Petah Tiqva, Israel.
Kremer
I
I
Gaton
D D
DD
Servadio
C
C
D000368:Aged; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D007710:Klebsiella Infections / Q000209:etiology*; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D008581:Meningitis / Q000209:etiology; D010202:Panophthalmitis / Q000209:etiology / Q000601:surgery; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery; D018805:Sepsis / Q000209:etiology*; D015607:Stents; D014552:Urinary Tract Infections / Q000209:etiology*