Markedly elevated blood pressure, tachycardia, and altered consciousness in patients with bacteremia during transurethral surgeries: two case reports
Abstract Background Transurethral surgery is often accompanied by postoperative urinary tract infection. Although early detection and adequate treatment of bacteremia are required to prevent sepsis, it is usually undetectable during surgery. We report two cases with remarkable hypertension and tachy...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2025-02-01
|
| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-025-00774-z |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849724006372999168 |
|---|---|
| author | Arisa Hotta Momoka Nishimura Daisuke Nakada Riko Uchida Hiroshi Matsuura Naoko Torii Naoko Fujita Taku Hamada Ai Nakamoto Noriko Yoshikawa |
| author_facet | Arisa Hotta Momoka Nishimura Daisuke Nakada Riko Uchida Hiroshi Matsuura Naoko Torii Naoko Fujita Taku Hamada Ai Nakamoto Noriko Yoshikawa |
| author_sort | Arisa Hotta |
| collection | DOAJ |
| description | Abstract Background Transurethral surgery is often accompanied by postoperative urinary tract infection. Although early detection and adequate treatment of bacteremia are required to prevent sepsis, it is usually undetectable during surgery. We report two cases with remarkable hypertension and tachycardia during transurethral surgery in which bacteremia was diagnosed by an intraoperative blood test. Case presentation An 80-year-old man (Case 1) underwent transurethral holmium laser prostate enucleation under spinal anesthesia, and an 88-year-old woman (Case 2) underwent transurethral resection of bladder tumor under general anesthesia. Altered consciousness (Case 1) and postoperative delirium (Case 2) were noted, in addition to remarkable intraoperative hypertension and tachycardia. We administered broad-spectrum antibiotics for possible bacteremia in both cases. The patients’ hemodynamics positively recovered the following day. Intraoperative blood samples revealed gram-negative bacillus. Conclusions Hypertension, tachycardia, and altered consciousness may suggest the onset of symptomatic bacteremia during transurethral surgery, and adequate treatment is required to prevent sepsis. |
| format | Article |
| id | doaj-art-3e0214cd1a8341aba9e9b1986dc4157f |
| institution | DOAJ |
| issn | 2363-9024 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj-art-3e0214cd1a8341aba9e9b1986dc4157f2025-08-20T03:10:51ZengSpringerOpenJA Clinical Reports2363-90242025-02-011111510.1186/s40981-025-00774-zMarkedly elevated blood pressure, tachycardia, and altered consciousness in patients with bacteremia during transurethral surgeries: two case reportsArisa Hotta0Momoka Nishimura1Daisuke Nakada2Riko Uchida3Hiroshi Matsuura4Naoko Torii5Naoko Fujita6Taku Hamada7Ai Nakamoto8Noriko Yoshikawa9Department of Anesthesiology, Sumitomo HospitalDepartment of Anesthesiology, Sumitomo HospitalDepartment of Anesthesiology, Sumitomo HospitalDepartment of Anesthesiology, Sumitomo HospitalDepartment of Anesthesiology, Sumitomo HospitalDepartment of Anesthesiology, Sumitomo HospitalDepartment of Anesthesiology, Sumitomo HospitalDepartment of Anesthesiology, Sumitomo HospitalDepartment of Anesthesiology, Sumitomo HospitalDepartment of Anesthesiology, Sumitomo HospitalAbstract Background Transurethral surgery is often accompanied by postoperative urinary tract infection. Although early detection and adequate treatment of bacteremia are required to prevent sepsis, it is usually undetectable during surgery. We report two cases with remarkable hypertension and tachycardia during transurethral surgery in which bacteremia was diagnosed by an intraoperative blood test. Case presentation An 80-year-old man (Case 1) underwent transurethral holmium laser prostate enucleation under spinal anesthesia, and an 88-year-old woman (Case 2) underwent transurethral resection of bladder tumor under general anesthesia. Altered consciousness (Case 1) and postoperative delirium (Case 2) were noted, in addition to remarkable intraoperative hypertension and tachycardia. We administered broad-spectrum antibiotics for possible bacteremia in both cases. The patients’ hemodynamics positively recovered the following day. Intraoperative blood samples revealed gram-negative bacillus. Conclusions Hypertension, tachycardia, and altered consciousness may suggest the onset of symptomatic bacteremia during transurethral surgery, and adequate treatment is required to prevent sepsis.https://doi.org/10.1186/s40981-025-00774-zBacteremiaElevated blood pressureAltered consciousnessTransurethral surgery |
| spellingShingle | Arisa Hotta Momoka Nishimura Daisuke Nakada Riko Uchida Hiroshi Matsuura Naoko Torii Naoko Fujita Taku Hamada Ai Nakamoto Noriko Yoshikawa Markedly elevated blood pressure, tachycardia, and altered consciousness in patients with bacteremia during transurethral surgeries: two case reports JA Clinical Reports Bacteremia Elevated blood pressure Altered consciousness Transurethral surgery |
| title | Markedly elevated blood pressure, tachycardia, and altered consciousness in patients with bacteremia during transurethral surgeries: two case reports |
| title_full | Markedly elevated blood pressure, tachycardia, and altered consciousness in patients with bacteremia during transurethral surgeries: two case reports |
| title_fullStr | Markedly elevated blood pressure, tachycardia, and altered consciousness in patients with bacteremia during transurethral surgeries: two case reports |
| title_full_unstemmed | Markedly elevated blood pressure, tachycardia, and altered consciousness in patients with bacteremia during transurethral surgeries: two case reports |
| title_short | Markedly elevated blood pressure, tachycardia, and altered consciousness in patients with bacteremia during transurethral surgeries: two case reports |
| title_sort | markedly elevated blood pressure tachycardia and altered consciousness in patients with bacteremia during transurethral surgeries two case reports |
| topic | Bacteremia Elevated blood pressure Altered consciousness Transurethral surgery |
| url | https://doi.org/10.1186/s40981-025-00774-z |
| work_keys_str_mv | AT arisahotta markedlyelevatedbloodpressuretachycardiaandalteredconsciousnessinpatientswithbacteremiaduringtransurethralsurgeriestwocasereports AT momokanishimura markedlyelevatedbloodpressuretachycardiaandalteredconsciousnessinpatientswithbacteremiaduringtransurethralsurgeriestwocasereports AT daisukenakada markedlyelevatedbloodpressuretachycardiaandalteredconsciousnessinpatientswithbacteremiaduringtransurethralsurgeriestwocasereports AT rikouchida markedlyelevatedbloodpressuretachycardiaandalteredconsciousnessinpatientswithbacteremiaduringtransurethralsurgeriestwocasereports AT hiroshimatsuura markedlyelevatedbloodpressuretachycardiaandalteredconsciousnessinpatientswithbacteremiaduringtransurethralsurgeriestwocasereports AT naokotorii markedlyelevatedbloodpressuretachycardiaandalteredconsciousnessinpatientswithbacteremiaduringtransurethralsurgeriestwocasereports AT naokofujita markedlyelevatedbloodpressuretachycardiaandalteredconsciousnessinpatientswithbacteremiaduringtransurethralsurgeriestwocasereports AT takuhamada markedlyelevatedbloodpressuretachycardiaandalteredconsciousnessinpatientswithbacteremiaduringtransurethralsurgeriestwocasereports AT ainakamoto markedlyelevatedbloodpressuretachycardiaandalteredconsciousnessinpatientswithbacteremiaduringtransurethralsurgeriestwocasereports AT norikoyoshikawa markedlyelevatedbloodpressuretachycardiaandalteredconsciousnessinpatientswithbacteremiaduringtransurethralsurgeriestwocasereports |