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Title: 尿管皮膚瘻造設術後の尿管ステント交換に伴い発症した腸腰筋膿瘍の1例
Other Titles: Psoas Abscess after Ureteral Stent Exchange for Cutaneous Ureterostomy : Report of a Case
Authors: 佐野, 太一  KAKEN_name
富田, 圭司  KAKEN_name
瀧本, 啓太  KAKEN_name
金, 哲將  KAKEN_name
Author's alias: Sano, Taichi
Tomita, Keiji
Takimoto, Keita
Kim, Jang Chul
Keywords: Psoas abscess
Cutaneous ureterostomy
Bladder cancer
Ureteral stent
Issue Date: Jul-2012
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 58
Issue: 7
Start page: 341
End page: 344
Abstract: A 69-year-old man underwent a radical cystectomy and cutaneous ureterostomy for carcinoma in situ of the urinary bladder. The ureteral stents were exchanged for cutaneous ureterostomy 35 days after the operation. The patient suffered from high fever with chills a few hours after the stent exchange, and was readmitted to our hospital. High fever was not improved by treatment with Ceftriaxone for 5 days. Five days after the stent exchange, computed tomography (CT) revealed a right psoas abscess. Methicillinresistant Staphylococcus aureus (MRSA) was detected inthe blood culture. Urine culture showed MRSA, Pseudomonas aeruginosa and Enterococcus faecium. Computed tomography-guided percutaneous catheter drainage and treatment consisting of vancomycin, minocycline and ciprofloxacin were performed for the psoas abscess. This treatment significantly reduced the size of the abscess and high fever was improved. The catheter was removed 22 days after the drainage. However, magnetic resonance imaging revealed a spondylitis at L4 and L5. Therefore, antibiotics treatment was continued for about 3 months. There has been no sign of recurrence of bladder cancer and psoas abscess at 23 months after the operation.
Rights: 許諾条件により本文は2013-08-01に公開
PubMed ID: 22895130
Appears in Collections:Vol.58 No.7

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