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A case of effective multidisciplinary therapy for septic shock due to acute pyelonephritis Kazuhiro Namura 1 , Futoshi Sano 1 , Hiroki Ito 1 , Narihiko Hayashi 1 , Noboru Nakaigawa 1 , Yoshinobu Kubota 1 1Department of Urology,Yokohama City University,Graduate School of Medicine Keyword: 敗血症 , 腎不全 , 尿管結石 pp.861-864
Published Date 2011/10/20
DOI https://doi.org/10.11477/mf.1413102514
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A 72-year-old man with type 2 diabetes mellitus was admitted to our hospital because of fever and dyspnea. The patient was diagnosed as acute renal failure,hydronephrosis due to a left ureteral stone,and sepsis caused by acute pyelonephritis. He received not only management of systemic inflammatory response syndrome,but also drainage of the source of infection and blood purification therapy focused on endotoxin absorption. His hemodynamics were markedly stabilized,and he become clinically improved. These results indicate that multidisciplinary therapy including endotoxin absorption should be considered for patients with sepsis secondary to urinary infection.


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電子版ISSN 1882-1332 印刷版ISSN 0385-2393 医学書院

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