Lee JH et al, 2016: A Case of Septic Shock caused by Achromobacter xylosoxidans in an Immunocompetent Female Patient after Extracorporeal Shock Wave Lithotripsy for a Ureteral Stone.
Lee JH, Lee SY, Park IY, Park SY, Lee JS, Kang G, Kim JS, Eom JS.
Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University Medical College, Seoul, Korea.
Department of Laboratory Medicine, Kangdong Sacred Heart Hospital, Hallym University Medical College, Seoul, Korea.
Achromobacter xylosoxidans can cause various types of infections, but its infection in humans is rare. A. xylosoxidans has been reported as a rare etiological agent of infections including primary bacteremia, catheter-related bloodstream infection, endocarditis, otitis, and pneumonia, particularly in immunocompromised hosts. We encountered a case of septic shock caused by A. xylosoxidans in a 52-year-old, immunocompetent woman with no underlying disease, who received extracorporeal shock wave lithotripsy to remove a left upper ureteral stone. She was treated with antibiotics to which the organism was susceptible but died as a result of septic shock.
Infect Chemother. 2016 Mar;48(1):47-50. doi: 10.3947/ic.2016.48.1.47. Epub 2016 Mar 31. FREE ARTICLE
6 colleagues from a department of Internal Medicine, and 2 from Laboratory Medicine report on a patient who got ESWL for a ureteral stone and died due to sepsis 25 days later. It says that obstruction was documented 7 days after admission and 3 days after ESWL. It is not mentioned if a deobstruction of the urinary tract was done. A weird story without a urologist?