A CASE OF SEPTIC SHOCK AND DISSEMINATED INTRAVASCULAR COAGULATION FOLLOWING TRANSRECTAL PROSTATIC BIOPSY
A 60-year-old man underwent transrectal six sextant ultrasound-guided prostatic biopsy because of gradual elevation of PSA. Despite postoperative use of amikacin, spiking fever developed the next day and after emergency admission (39 hours after the biopsy), his blood pressure decreased to 56/40mmHg...
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| Veröffentlicht in: | Nippon Hinyokika Gakkai zasshi 2001/11/20, Vol.92(7), pp.706-709 |
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| container_issue | 7 |
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| container_title | Nippon Hinyokika Gakkai zasshi |
| container_volume | 92 |
| creator | Kato, Kumiko Suzuki, Koichi Sai, Shotoku Senda, Motohiro Murase, Tatsuro |
| description | A 60-year-old man underwent transrectal six sextant ultrasound-guided prostatic biopsy because of gradual elevation of PSA. Despite postoperative use of amikacin, spiking fever developed the next day and after emergency admission (39 hours after the biopsy), his blood pressure decreased to 56/40mmHg with WBC 800/mm3, platelets 6.9×104/mm3 (decreased further to 0.4×104/mm3 on the following day) and FDP 51μg/dl. Intensive care including chemotherapy with broad-spectrum antibiotics and endotoxin removal therapy using a polymyxin B immobilized fiber column (PMX), was useful to recover the patient from septic shock and disseminated intravascular coagulation. As the number of systematic prostatic biopsy is increasing rapidly in Japan, more attention must be paid to potential hazards of this procedure. |
| doi_str_mv | 10.5980/jpnjurol1989.92.706 |
| format | Article |
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Despite postoperative use of amikacin, spiking fever developed the next day and after emergency admission (39 hours after the biopsy), his blood pressure decreased to 56/40mmHg with WBC 800/mm3, platelets 6.9×104/mm3 (decreased further to 0.4×104/mm3 on the following day) and FDP 51μg/dl. Intensive care including chemotherapy with broad-spectrum antibiotics and endotoxin removal therapy using a polymyxin B immobilized fiber column (PMX), was useful to recover the patient from septic shock and disseminated intravascular coagulation. 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Despite postoperative use of amikacin, spiking fever developed the next day and after emergency admission (39 hours after the biopsy), his blood pressure decreased to 56/40mmHg with WBC 800/mm3, platelets 6.9×104/mm3 (decreased further to 0.4×104/mm3 on the following day) and FDP 51μg/dl. Intensive care including chemotherapy with broad-spectrum antibiotics and endotoxin removal therapy using a polymyxin B immobilized fiber column (PMX), was useful to recover the patient from septic shock and disseminated intravascular coagulation. As the number of systematic prostatic biopsy is increasing rapidly in Japan, more attention must be paid to potential hazards of this procedure.</abstract><cop>Japan</cop><pub>THE JAPANESE UROLOGICAL ASSOCIATION</pub><pmid>11766371</pmid><doi>10.5980/jpnjurol1989.92.706</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0021-5287 |
| ispartof | The Japanese Journal of Urology, 2001/11/20, Vol.92(7), pp.706-709 |
| issn | 0021-5287 1884-7110 |
| language | eng ; jpn |
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| source | MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; EZB-FREE-00999 freely available EZB journals |
| subjects | Biopsy - adverse effects Biopsy - methods disseminated intravascular coagulation (DIC) Disseminated Intravascular Coagulation - drug therapy Disseminated Intravascular Coagulation - etiology Humans Male Middle Aged Prostate - pathology Prostatic Neoplasms - pathology septic shock Shock, Septic - drug therapy Shock, Septic - etiology transrectal prostatic biopsy |
| title | A CASE OF SEPTIC SHOCK AND DISSEMINATED INTRAVASCULAR COAGULATION FOLLOWING TRANSRECTAL PROSTATIC BIOPSY |
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