title: [Septic shock due to pyonephrosis-calculosa: a case report].
abstract: 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.
authors.affiliation: Department of Urology, Hiroshima City Hospital.
authors.forename: A
authors.initials: A
authors.lastname: Takao
authors.forename: Y
authors.initials: Y
authors.lastname: Nakayama
authors.forename: T
authors.initials: T
authors.lastname: Ichikawa
authors.forename: M
authors.initials: M
authors.lastname: Saegusa
authors.forename: S
authors.initials: S
authors.lastname: Asano
authors.forename: K
authors.initials: K
authors.lastname: Aramaki
mesh_terms: 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