title: Severe sepsis following extracorporeal shock wave lithotripsy.
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.
authors.affiliation: Department of Urology, Beilinson Medical Center, Petah Tiqva, Israel.
authors.forename: N
authors.initials: N
authors.lastname: Silber
authors.forename: I
authors.initials: I
authors.lastname: Kremer
authors.forename: D D
authors.initials: DD
authors.lastname: Gaton
authors.forename: C
authors.initials: C
authors.lastname: Servadio
mesh_terms: 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*