A real pain in the back…or maybe not- a case series of urosepsis due to obstructing calculi identified on ultrasound.

ABSTRACT:

Background

Urosepsis, due to obstructing urinary calculi, is a urologic emergency requiring surgical decompression to reduce mortality. Presenting symptoms include fevers, pain, and dysuria, however, symptoms may be difficult to assess in patients with shock and altered mental status. Point-of-care ultrasound (POCUS) is an invaluable tool to assess patients in the emergency department (ED) with undifferentiated shock. We present a case series of three patients presenting with septic shock, who were found to have hydronephrosis on POCUS, from an infected ureteral stone.

Case presentation

Three elderly patients presented to the ED with sepsis secondary to an infected kidney stone. POCUS identified hydronephrosis leading to the diagnosis of infected ureteral stone as the nidus

SUBMITTER: Jin A 

PROVIDER: S-EPMC12487450 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature