[Septic shock due to pyonephrosis-calculosa: a case report].
A 69-year-old female was admitted to hospital with the complaint of high-grade fever and clouding of consciousness. Physical examination and laboratory data revealed septic shock, disseminated intravascular coagulation and multiple organ failure. Ultrasonography demonstrated left hydronephrosis and a cystic mass in peri-renal fatty tissue. KUB showed a left ureteral stone. A diagnosis of septic shock due to pyonephrosis-calculosa and peri-renal abscess was considered. A left nephrectomy, endotoxin removal therapy and continuous hemodiafiltration was performed. Thereafter all morbidities improved. A nephrectomy and intensive treatment are the good alternative method for such a case.
Takao
A
A
Department of Urology, Hiroshima City Hospital.
Nakayama
Y
Y
Ichikawa
T
T
Saegusa
M
M
Asano
S
S
Aramaki
K
K
D000368:Aged; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D005260:Female; D017583:Hemodiafiltration; D006801:Humans; D007669:Kidney Calculi / Q000150:complications* / Q000601:surgery; D009392:Nephrectomy; D011704:Pyelonephritis / Q000150:complications* / Q000601:surgery; D012772:Shock, Septic / Q000209:etiology* / Q000628:therapy