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Title: 心肺停止で発見された気腫性腎盂腎炎の1例
Other Titles: Emphysematous Pyelonephritis with Cardio-Pulmonary Arrest : A Case Report
Authors: 山道, 岳  KAKEN_name
蔦原, 宏一  KAKEN_name
栗林, 宗平  KAKEN_name
川村, 正隆  KAKEN_name
中野, 剛佑  KAKEN_name
岸本, 望  KAKEN_name
谷川, 剛  KAKEN_name
松嶋, 麻子  KAKEN_name
藤見, 聡  KAKEN_name
高尾, 徹也  KAKEN_name
山口, 誓司  KAKEN_name
Author's alias: Yamamichi, Gaku
Tsutahara, Koichi
Kuribayashi, Sohei
Kawamura, Masataka
Nakano, Kosuke
Kishimoto, Nozomu
Tanigawa, Go
Matsushima, Asako
Fujimi, Satoshi
Takao, Tetsuya
Yamaguchi, Seiji
Keywords: Cardio pulmonary arrest
Emphysematous pyelonephritis
Issue Date: 31-Aug-2016
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要 = Acta urologica Japonica
Volume: 62
Issue: 8
Start page: 415
End page: 419
Abstract: A 40-year-old woman withuntreated type II diabetes mellitus was discovered withcardiopulmonary arrest in her room. On admission, she had ventricular fibrillation. After cardiopulmonary resuscitation, her own pulse restarted. The plasma glucose was 722 mg/dl and venous PH was 6.704. Abdominal computed tomography revealed gas within the parenchyma of the left kidney. We diagnosed her with emphysematous pyelonephritis and conducted emergency nephrectomy. Urinary and blood cultures were positive for Escherichia coli. Antibiotic therapy was initiated with doripenem and she was restrictively treated with intravenous insulin to control her plasma glucose. On the 8th day of hospital stay, she underwent resection of the small intestine because of necrosis. After multidisciplinary therapy, she was discharged with complete resolution of the infection.
Rights: 許諾条件により本文は2017/09/01に公開
DOI: 10.14989/ActaUrolJap_62_8_415
PubMed ID: 27624108
Appears in Collections:Vol.62 No.8

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