A Case of Successfully Treated Acute Respiratory Distress Syndrome Complicated by Ureteral Stones
| Autor: | Kazuhiko Fujita, Isao Goto, Tasaburo Takasu, Eriko Tabata, Toshiaki Hanafusa, Yasuhito Fujisaka, Soichiro Ikeda, Naoki Chikuie |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
ARDS
Ureteral Calculi medicine.medical_treatment Hydronephrosis Lithotripsy Sepsis medicine Humans Escherichia coli Infections Mechanical ventilation Respiratory Distress Syndrome business.industry Septic shock General Medicine Disseminated Intravascular Coagulation Middle Aged medicine.disease Shock Septic Extracorporeal shock wave lithotripsy Anti-Bacterial Agents Treatment Outcome Anesthesia Shock (circulatory) Female medicine.symptom business |
| Zdroj: | Journal of the Japanese Association for Infectious Diseases. 82:455-460 |
| ISSN: | 1884-569X 0387-5911 |
| Popis: | We report a case of acute respiratory distress syndrome caused by uropathogenic Escherichia coli induced sepsis and treated successfully. A 56-year-old women admitted for high-fever, dyspnea, and disturbance of consciousness on September 11, 2006, was found in chest computed tomography (CT) on admission to have diffuse infiltration with bilateral pleural effusion. Abdominal CT on admission showed left hydronephrosis complicated with ureteral stones. Because of severe hypoxemia, mechanical ventilation was started from hospital day 1. She went into shock soon after admission. Under mechanical ventilation, she was administered several antibiotics and dopamine. Because sera endotoxins were elevated, she was treated by endotoxin adsorption therapy on hospital day 3. A urethral stent was indwelled in the ureter for drainage after endotoxin adsorption therapy. Because Escherichia coli was isolated from urine and blood cultures, she was diagnosed with acute respiratory distress syndrome (ARDS) caused by E. coli inducing septic shock. After therapy, her condition improved, and she was extubated on hospital day 9. Extracorporeal shock wave lithotripsy was conducted on hospital day 19 and she was discharged. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|