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タイトル: | 心肺停止で発見された気腫性腎盂腎炎の1例 |
その他のタイトル: | Emphysematous Pyelonephritis with Cardio-Pulmonary Arrest : A Case Report |
著者: | 山道, 岳 蔦原, 宏一 栗林, 宗平 川村, 正隆 中野, 剛佑 岸本, 望 谷川, 剛 松嶋, 麻子 藤見, 聡 高尾, 徹也 山口, 誓司 |
著者名の別形: | Yamamichi, Gaku Tsutahara, Koichi Kuribayashi, Sohei Kawamura, Masataka Nakano, Kosuke Kishimoto, Nozomu Tanigawa, Go Matsushima, Asako Fujimi, Satoshi Takao, Tetsuya Yamaguchi, Seiji |
キーワード: | Cardio pulmonary arrest Emphysematous pyelonephritis |
発行日: | 31-Aug-2016 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 62 |
号: | 8 |
開始ページ: | 415 |
終了ページ: | 419 |
抄録: | 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. |
著作権等: | 許諾条件により本文は2017/09/01に公開 |
DOI: | 10.14989/ActaUrolJap_62_8_415 |
URI: | http://hdl.handle.net/2433/216578 |
PubMed ID: | 27624108 |
出現コレクション: | Vol.62 No.8 |
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