OLAF C. KRONEMAN III, M.D.; MARC S. BRODSKY, M.D.; JAMES MACKENZIE, M.D.; ANDREW HAUSER, M.D.
To the editor: Extracorporeal shock wave lithotripsy used focused shock waves to disintegrate renal calculi. This technique spares the patient the morbidity of an open surgical procedure. With experience, the complications of this procedure will be better defined. We report the development of endocarditis temporally related to extracorporeal shock wave lithotripsy, a heretofore unreported complication.
A 71-year-old man with valvular heart disease was hospitalized with flank pain. A 5-mm calculus was identified in the upper pole of the right kidney. Extracorporeal shock wave lithotripsy was successfully done on 11 December 1985. The patient received trimethoprim and sulfamethoxazole before the procedure.
KRONEMAN OC, BRODSKY MS, MACKENZIE J, HAUSER A. Endocarditis After Lithotripsy. Ann Intern Med. 1987;106:777. doi: 10.7326/0003-4819-106-5-777_1
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Published: Ann Intern Med. 1987;106(5):777.
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