Severe sepsis following percutaneous or endoscopic procedures for urinary tract stones.
Nine cases of severe sepsis following percutaneous or endoscopic procedures for upper urinary tract stones are reported. The mortality rate was 66%. Despite the fact that approximately 700 procedures were carried out in males and females in roughly equal proportions, a striking but inexplicable feature was that all 9 patients in the study group were female. Severe systemic sepsis has a high mortality rate and any procedure that may put patients at risk of this complication should not be undertaken lightly (and certainly not as an out-patient procedure). Recovery is possible with a high index of suspicion, early intervention and intensive treatment.
O'Keeffe
N K
NK
Department of Urology, University Hospital of South Manchester.
Mortimer
A J
AJ
Sambrook
P A
PA
Rao
P N
PN
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D005260:Female; D005334:Fever / Q000209:etiology; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007022:Hypotension / Q000209:etiology; D007035:Hypothermia / Q000209:etiology; D008096:Lithotripsy; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D011183:Postoperative Complications; D018805:Sepsis / Q000209:etiology* / Q000503:physiopathology; D012737:Sex Factors; D014545:Urinary Calculi / Q000601:surgery*