TITLE:
Fatal Urosepsis: A 41 Year-Old Pregnant Woman—Case Report
AUTHORS:
Malgorzata Gosciniak, Dariusz Kawecki, Malgorzata Miklaszewska, Zenon Truszewski, Tomasz Lazowski, Miroslaw Wielgos, Piotr Radziszewski
KEYWORDS:
Pregnancy, Urosepsis, Nephrolithiasis, Ureteroscopy
JOURNAL NAME:
Open Journal of Urology,
Vol.4 No.11,
November
19,
2014
ABSTRACT: Introduction: Urinary tract infections are one of the most
frequent infectious complications during pregnancy [1], while acute pyelonephritis
is the main non-obstetric reason for hospitalisation [2] [3]and septic shock in pregnant women. Objectives and methods:
The aim of our study is to analyse the diagnostics and treatment of a
41-year-old pregnant woman with the most severe form of urinary tract
infection—urosepsis. Case report: A 41-year old woman in the 12th week of
pregnancy hospitalised at Intensive Care Unit (ICU) after urological
intervention (JJ stent). On the first day after the intervention, the patient was
diagnosed as having urosepsis. Scores: SOFA 14 pts, APACHE II 26 pts, SAPS II
SCORE 61 pts. Second day in ICU: spontaneous abortion.
Microbiologicalinvestigation: Escherichia
coli—extended-spectrum beta-lactamase (ESBL+). Conclusions: Apregnant
patient with a complicated infection of the urinary system ought to be treated
in a multi-profile hospital, offering a possibility to consult doctors of various
specialisations (urologist, gynaecologist, anaesthesiologist, nephrologist) as well as full access
to a radiology laboratory, which will ensure
the choice of appropriate and safe treatment for both the mother and the
developing foetus.