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  • Title: [Septic shock induced by extracorporeal shock wave lithotripsy treatment with percutaneous nephrostomy in 5 cases with urolithiasis].
    Author: Tahara H, Katoh Y, Yano H, Kanbara N, Kohri K, Kurita T.
    Journal: Hinyokika Kiyo; 1993 Dec; 39(12):1119-24. PubMed ID: 8285159.
    Abstract:
    We have experienced 5 cases of septic shock induced by extracorporeal shock wave lithotripsy (ESWL) and percutaneous nephrostomy. We suspected 5 causes of septic shock; severe hydronephrosis, nephrostomy tube itself, an increase of intrarenal pressure, bacteria in urinary stone, and hepatic failure. Based on the above suspected causes of septic shock, we suggested 3 prophylactic treatments for septic shock; a preventive administration of antibiotics before ESWL and percutaneous nephrostomy, proper management of nephrostomy tube, and early diagnosis and treatment for septic shock.
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