title: Successful treatment with polymyxin B immobilized fiber of septic shock complicated by renal stone.
abstract: We describe a patient with septic shock that was spontaneously complicated by calyceal diverticular calculus. The patient recovered from shock within a few days with treatment by extracorporeal elimination of endotoxin using a blood purification cartridge consisting of polymyxin B immobilized fiber. Standard open nephrolithotomy was performed, and the patient was discharged from the hospital 2 months after admission.
authors.affiliation: Department of Urology, Rakuwa-kai Otowa Hospital, Kyoto, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Soda
authors.forename: K
authors.initials: K
authors.lastname: Ogura
authors.forename: M
authors.initials: M
authors.lastname: Kondo
authors.forename: M
authors.initials: M
authors.lastname: Yagisawa
mesh_terms: D004768:Enterotoxins / Q000097:blood; D005260:Female; D006464:Hemoperfusion; D006801:Humans; D007669:Kidney Calculi / Q000150:complications / Q000000981:diagnostic imaging; D008567:Membranes, Artificial; D008875:Middle Aged; D011112:Polymyxin B; D011512:Proteus Infections / Q000628:therapy*; D011513:Proteus mirabilis; D011859:Radiography; D012772:Shock, Septic / Q000150:complications / Q000382:microbiology / Q000628:therapy*
chemical_list: D004768:Enterotoxins; D008567:Membranes, Artificial; D011112:Polymyxin B