Differential Diagnosis of Motor Weakness in Bilateral Lower Extremities Developed during Treatment of Septic Shock due to Urinary Tract Infection

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Min Su Kang ◽  
Mathieu Boudier-Revéret ◽  
Min Cheol Chang
Keyword(s):  
Septic Shock ◽  
Urinary Tract Infection ◽  
Differential Diagnosis ◽  
Urinary Tract ◽  
Tract Infection ◽  
Lower Extremities ◽  
Motor Weakness

scholarly journals Unexpected Septic Shock after Ureteroscopic Lithotripsy in a Patient Preoperatively Treated for a Urinary Tract Infection

2016 ◽  
Vol 11 (2) ◽  
pp. 66
Author(s):  
Jong Wook Kim ◽  
Hyoung Kook Jeong ◽  
Jong Jin Park ◽  
Ji Yun Chae ◽  
Hong Seok Park ◽  
...  
Keyword(s):  
Septic Shock ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Ureteroscopic Lithotripsy

Clinical Effects of Polymyxin B Hemoperfusion in Patients With Septic Shock Caused by Urinary Tract Infection

2018 ◽  
Vol 23 (1) ◽  
pp. 80-85 ◽  
Author(s):  
Yasushi Suzuki ◽  
Masahiro Kojika ◽  
Hisaho Sato ◽  
Yoshihiro Inoue ◽  
Shigeatsu Endo
Keyword(s):  
Septic Shock ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Polymyxin B ◽  
Clinical Effects ◽  
Polymyxin B Hemoperfusion

scholarly journals Epidemiology of sepsis and its various characteristics in a tertiary care adult-multidisciplinary ICU in South India: a retrospective study

2020 ◽  
Vol 8 (4) ◽  
pp. 1260
Author(s):  
Hussain Khan Tharappel Jalal ◽  
Teju P. Thomas ◽  
Alfy Ann George ◽  
Hamadan Mohammed
Keyword(s):  
Septic Shock ◽  
Urinary Tract Infection ◽  
Retrospective Study ◽  
Urinary Tract ◽  
Tract Infection ◽  
Sofa Score ◽  
South India ◽  
Tertiary Care ◽  
Organ Involvement ◽  
Common Source

Background: The incidence of sepsis is increasing, especially in elderly populations with more comorbidities. It is now estimated that sepsis is a leading cause of mortality and critical illness worldwide. The Epidemiological data regarding sepsis, septic shock and organ involvement is mainly from western literature. Data from India, especially south India, are less when compared to western data. In this background authors conducted a retrospective study in tertiary care hospital in south India. Objectives of the study was epidemiology of sepsis and its various characteristics in a tertiary care adult-Multi disciplinary ICU in South India.Methods: This study was a retrospective observational study, conducted during the time period of June 2016 and May 2017. The study population was patients above 18 yrs admitted in MDICU with sepsis. The study was conducted in a tertiary care adult -Multidisciplinary ICU in South India. Various characteristics like age group, comorbidities, organ involvement, septic shock, sofa score, need for ventilatory support, RRT support and outcome data was collected.Results: In this study, 497 patients who satisfied the Surviving Sepsis Campaign guidelines were included. The majority of the patients (59.8%) were male; the majority was above 60 yr (range 18 to 92 yr). 76.3% Patients had comorbid disease. Hypertension was the most common co-morbid (62%) followed by diabetes mellitus (51.3%). Chronic Kidney Disease was found in 132 patients (26.6%) and Coronary artery disease in 121 patients (24.3%). 186 patients (46.5%) had single organ involvement 140(35%) patients had 2 organ involvement. 74(18.5%) patients had more than 2 organ involvement. Septic shock was found in 155 patients (31.2%). Renal involvement was the most common organ involvement found in 279 patients(59.9%). Most common source for sepsis was the respiratory system found in 230 patients (46.3%), followed by urinary tract infection in 117 patients (23.5%). The study shows a significant association between SOFA score and mortality (p-value 0.001) 52% of mortality happened in group of patients with SOFA score more than 15 and mortality was 28 % in group with a SOFA score of 10-15.Conclusions: In this retrospective study of sepsis, authors found that the most common source of sepsis was pneumonia (46.3%) followed by urinary tract infection (23.5%). Majority of the patients had one organ involvement (46.5%). Among the organ involvement, Acute Kidney injury was the most common organ involvement (56.1%) followed by septic shock (31.2%) and respiratory support (29.6%). Mortality in this study was higher with higher SOFA score.

Urinary myiasis: not your typical urinary tract infection

2019 ◽  
Vol 26 (8) ◽  
Author(s):  
Agnes Geremy-Depatureaux ◽  
Danielle Rouleau ◽  
Karine Thivierge ◽  
Alexandra Cecan ◽  
Valerie Levesque-Beaudin ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Differential Diagnosis ◽  
Urinary Tract ◽  
Tract Infection ◽  
Rare Disease ◽  
Clinical Approach ◽  
First Case

A Canadian traveler returns from Irak and Afghanistan reporting larvae expulsion during micturition. We report the first case of urinary myiasis in Canada and discuss the differential diagnosis and clinical approach to this rare disease.

scholarly journals Risk Factors for Development of Septic Shock in Patients with Urinary Tract Infection

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Chih-Yen Hsiao ◽  
Huang-Yu Yang ◽  
Chih-Hsiang Chang ◽  
Hsing-Lin Lin ◽  
Chao-Yi Wu ◽  
...  
Keyword(s):  
Heart Failure ◽  
Septic Shock ◽  
Congestive Heart Failure ◽  
Acute Kidney Injury ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Kidney Injury ◽  
Subsequent Treatment ◽  
Care Hospital

Introduction. Severe sepsis and septic shock are associated with substantial mortality. However, few studies have assessed the risk of septic shock among patients who suffered from urinary tract infection (UTI).Materials and Methods. This retrospective study recruited UTI cases from an acute care hospital between January 2006 and October 2012 with prospective data collection.Results. Of the 710 participants admitted for UTI, 80 patients (11.3%) had septic shock. The rate of bacteremia is 27.9%; acute kidney injury is 12.7%, and the mortality rate is 0.28%. Multivariable logistic regression analyses indicated that coronary artery disease (CAD) (OR: 2.521, 95% CI: 1.129–5.628,P=0.024), congestive heart failure (CHF) (OR: 4.638, 95% CI: 1.908–11.273,P=0.001), and acute kidney injury (AKI) (OR: 2.992, 95% CI: 1.610–5.561,P=0.001) were independently associated with septic shock in patients admitted with UTI. In addition, congestive heart failure (female, OR: 4.076, 95% CI: 1.355–12.262,P=0.012; male, OR: 5.676, 95% CI: 1.103–29.220,P=0.038, resp.) and AKI (female, OR: 2.995, 95% CI: 1.355–6.621,P=0.007; male, OR: 3.359, 95% CI: 1.158–9.747,P=0.026, resp.) were significantly associated with risk of septic shock in both gender groups.Conclusion. This study showed that patients with a medical history of CAD or CHF have a higher risk of shock when admitted for UTI treatment. AKI, a complication of UTI, was also associated with septic shock. Therefore, prompt and aggressive management is recommended for those with higher risks to prevent subsequent treatment failure in UTI patients.

scholarly journals Concurrent NeonatalProteus mirabilisInfection in Dizygotic Twins

1999 ◽  
Vol 10 (2) ◽  
pp. 156-158
Author(s):  
Lillian Sung ◽  
Noni E MacDonald ◽  
James S Hutchison
Keyword(s):  
Septic Shock ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antimicrobial Therapy ◽  
Proteus Mirabilis ◽  
Dizygotic Twin ◽  
Concomitant Infection ◽  
Dizygotic Twins ◽  
Second Twin

A case of concomitant infection withProteus mirabilisin dizygotic twin neonates is presented. The first twin presented with meningitis and septic shock at eight days of age and subsequently died. An investigation of the asymptomatic second twin revealed a urinary tract infection that resolved with antimicrobial therapy. It is recommend that when infection with this virulent organism is diagnosed in one twin, the second twin should be fully evaluated for sepsis and empirical antimicrobial therapy should be considered.

Sign in / Sign up

Export Citation Format

Share Document