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[Septic attack during percutaneous nephrolithotripsy under epidural anesthesia]

F Nakata¹, H Yamamoto, M Okada

¹Department of Anesthesiology, Toranomon Hospital, Tokyo.

Masui. the Japanese Journal of Anesthesiology

|June 1, 1993

Summary

A patient undergoing percutaneous nephrolithotripsy (PNL) developed a severe fever and sepsis. This highlights the risk of infection during PNL due to increased intrarenal pressure from irrigation fluid.

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Area of Science:

Urology
Nephrology
Infectious Diseases

Background:

Percutaneous nephrolithotripsy (PNL) is a common procedure for kidney stone removal.
Anesthesia and patient positioning are critical factors during PNL.

Observation:

A 59-year-old male patient developed fever, chills, and tachycardia during PNL.
The patient's temperature reached 40.7°C, responding to cooling measures.
Serratia species were identified in arterial blood samples.

Findings:

The intrarenal pressure increase due to irrigation fluid during PNL is suspected to have caused septicemia.
Serratia infection was confirmed via arterial blood culture.

Implications:

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Careful monitoring for septic attacks is crucial during and after PNL.

Prompt recognition and management of potential infections are vital for patient safety in nephrolithotripsy procedures.