Acta clinica Croatica, Vol. 57. No. 4., 2018.
Ostalo
https://doi.org/10.20471/acc.2018.57.04.25
Polyserositis and Severe Sepsis after Open Suprapubic Radical Prostatectomy: a Case Report
Mario Sučić
; Sveti Duh University Hospital, Department of Urology, Zagreb, Croatia
Slaven Ovčariček
; Sveti Duh University Hospital, Department of Urology, Zagreb, Croatia
Adelina Hrkać
; Sveti Duh University Hospital, Department of Urology, Zagreb, Croatia
Berislav Mažuran
; Sveti Duh University Hospital, Department of Urology, Zagreb, Croatia
Hrvoje Budinčević
; Sveti Duh University Hospital, Department of Neurology, Stroke and Intensive Care Unit, Zagreb, Croatia; Josip Juraj University of Osijek, Faculty of Medicine, Osijek, Croatia
Sažetak
Infections are well-known complications of radical prostatectomy. In the United States and Europe, the rates of surgical site infections are generally less than 1% and of other infections up to 3%. We report a case of a 62-year-old man who developed severe sepsis with renal insufficiency, paralytic ileus and polyserositis after radical prostatectomy, as a consequence of probable quinolone-resistant bacterial infection. Computed tomography of the abdomen and chest showed polyserositis with bilateral pleural and peritoneal effusions. Treatment with meropenem and other supportive measures resulted in good clinical outcome. This case suggested that severe sepsis with exudative polyserositis was probably caused by mobilization of an infective agent (bacterium) during bladder neck dissection as part of open radical prostatectomy.
Ključne riječi
Prostatectomy; Prostatic neoplasms; Sepsis; Case reports; Surgical wound infection
Hrčak ID:
217862
URI
Datum izdavanja:
1.12.2018.
Posjeta: 2.890 *