Ces Urol 2017, 21(4):310-313 | DOI: 10.48095/cccu2017038

Agranulocytosis after analgesic treatment for renal colic

Gabriela Čečerle¹, Vladimír Šámal^1,2, Jan Mečl¹

¹ Urologické oddělení, Krajská nemocnice Liberec, a. s.

² Urologická klinika Fakultní nemocnice a Lékařské fakulty UK, Hradec Králové

Čečerle G, Šámal V, Mečl J. Agranulocytosis after analgesic treatment for renal colic. Renal colic is a symptom characterized by cramp-like, recurrent flank pain, often accompanied by vomiting and other vegetative symptoms. Urologists encounter patients with renal colic almost daily and its diagnosis and treatment is one of the basic urological skills. We present a case of a 26-years-old patient who was examined with renal colic at our clinic. Renal CT scan showed the presence of 3mm stone in the juxtavesical part of the ureter on the left. The patient was instructed that the stone could pass spontaneously off the ureter and was sent home with analgesic drugs. The patient was hospitalized for recurrent pain after a few days. An agranulocytosis was found in the blood count on admission and further examinations it was found that the agranulocytosis was caused by medication. During the week there was a very slow increase of neutrophil count.

Keywords: Renal colic, agranulocytosis, analgesic therapy, metamizol.

Received: September 10, 2017; Accepted: November 26, 2017; Published: December 19, 2017