Summary

Two cases of hemorrhagic shock due to septic arteritis secondary to urinary tract infection

Pericás Pulido JM, Castro Rebollo P, Díaz Muñoz A, Nicolás Arfelis JM

Affiliation of the authors

Servicio de Medicina Interna,Área de Vigilancia Intensiva, Servicio Anatomía Patológica, Hospital Clínic, Barcelona, Spain.

DOI

Quote

Pericás Pulido JM, Castro Rebollo P, Díaz Muñoz A, Nicolás Arfelis JM. Two cases of hemorrhagic shock due to septic arteritis secondary to urinary tract infection. Emergencias. 2014;26:371-4

Summary

Infectious, or septic, arteritis is a rare condition attributed only to certain chronic infections, such as syphilis. The incidence of septic arteritis may be higher than supposed, however, as it may be a complication of certain other infections, such as those in the urinary tract. Septic arteritis is usually diagnosed when the patient develops a complication, such as ruptured vessels or occult bleeding, and such events often end in death. We describe 2 cases of

septic shock originating in complicated urinary tract infections with early septic arteritis that led the affected vessels to rupture; hemorrhagic shock followed. The emergency physician should be alert to the possibility of these potentially serious events and be prepared to treat the condition quickly and aggressively.

 

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