title: [Case of sever septic shock following transurethral lithotripsy].
abstract: A 62-year-old man was scheduled for transurethral lithotripsy. Systemic shivering, vomiting and decreased blood pressure occurred after extubation. Blood gas analysis showed metabolic acidosis. After 45 minute observation, he became unconsciousness. He was reintubated. Elevated procalcitonin (PCT) and endotoxin activity assay (EAA) brought us to the diagnosis of severe septic shock. He was treated by a standard therapy conforming to early goal direct therapy and PMX-DHP with CHDF. He showed full recovery, and was discharged 9 days after the procedure. TUL is commonly performed, but it seldom leads to sepsis. We need to pay a careful attention peri- and postoperatively.
authors: Shiho
authors: S
authors: Tobaru
authors: Shunsuke
authors: S
authors: Izumi
authors: Satoko
authors: S
authors: Saikawa
authors: Yuji
authors: Y
authors: Miyata
authors: Manabu
authors: M
authors: Kakinohana
mesh_terms: D000768:Anesthesia, General; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D015415:Biomarkers / Q000097:blood; D002116:Calcitonin / Q000097:blood; D015740:Calcitonin Gene-Related Peptide; D004731:Endotoxins / Q000097:blood; D017583:Hemodiafiltration / Q000379:methods*; D006464:Hemoperfusion / Q000379:methods*; D006801:Humans; D007262:Infusions, Intravenous; D007669:Kidney Calculi / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects* / Q000379:methods*; D008297:Male; D000077731:Meropenem; D008875:Middle Aged; D011498:Protein Precursors / Q000097:blood; D012720:Severity of Illness Index; D012772:Shock, Septic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D013845:Thienamycins / Q000008:administration & dosage; D016896:Treatment Outcome; D014521:Urethra
chemical_list: D000900:Anti-Bacterial Agents; D015415:Biomarkers; C000606589:CALCA protein, human; D004731:Endotoxins; D011498:Protein Precursors; D013845:Thienamycins; D002116:Calcitonin; D000077731:Meropenem; D015740:Calcitonin Gene-Related Peptide