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Anuria due to lithiasis associated with septic shock
P Dragan1, F Miclea, P Boiborean
1Urological Department, Medical University, Timisoara, Romania.
Acta Urologica Belgica
|January 1, 1992
Summary
Anuria from kidney stones can lead to septic shock, a dangerous condition with high mortality. Prompt treatment, including restoring urine flow and antibiotics, may improve patient outcomes.
Area of Science:
- Nephrology
- Urology
- Critical Care Medicine
Background:
- Anuria, the absence of urine production, is a critical condition often caused by kidney stones (lithiasis).
- Septic shock is a life-threatening complication associated with severe infections.
Observation:
- Over 18 months, 38 patients with anuria due to lithiasis were treated.
- Eight of these patients developed septic shock, highlighting a significant complication rate.
Findings:
- Twenty-eight patients recovered with normal urinary output after various interventions.
- Ten patients died, with six fatalities directly attributed to septic shock.
- Septic shock presents a high mortality rate in patients with anuria due to lithiasis.
Implications:
- Emergency restoration of urinary flow is crucial for managing anuria.
- Correction of fluid and electrolyte imbalances is essential for patient survival.
- Aggressive antibiotic therapy (antibiotherapy) alongside other measures may improve outcomes in these critical cases.