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, 72 (3), 277-83

Severe Sepsis Following Percutaneous or Endoscopic Procedures for Urinary Tract Stones

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Severe Sepsis Following Percutaneous or Endoscopic Procedures for Urinary Tract Stones

N K O'Keeffe et al. Br J Urol.

Abstract

Nine cases of severe sepsis following percutaneous or endoscopic procedures for upper urinary tract stones are reported. The mortality rate was 66%. Despite the fact that approximately 700 procedures were carried out in males and females in roughly equal proportions, a striking but inexplicable feature was that all 9 patients in the study group were female. Severe systemic sepsis has a high mortality rate and any procedure that may put patients at risk of this complication should not be undertaken lightly (and certainly not as an out-patient procedure). Recovery is possible with a high index of suspicion, early intervention and intensive treatment.

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