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タイトル: | 尿閉を主訴とした急性散在性脳脊髄炎の1小児例 |
その他のタイトル: | Acute Urinary Retention Caused by Acute Disseminated Encephalomyelitis : A Case Report |
著者: | 福井, 真二 家村, 友輔 松村, 善昭 影林, 頼明 堀田, 有希 吉田, さやか 三馬, 省二 |
著者名の別形: | Fukui, Shinji Iemura, Yusuke Matsumura, Yoshiaki Kagebayashi, Yoriaki Hotta, Yuki Yoshida, Sayaka Samma, Shoji |
キーワード: | Child Urinary retention Acute disseminated encephalomyelitis |
発行日: | 31-Jan-2018 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 64 |
号: | 1 |
開始ページ: | 17 |
終了ページ: | 20 |
抄録: | An 11-year-old boy was referred to our department with the chief complaint of acute urinary retention. He had had a history of viral enteritis a few days before the onset of dysuria. He presented with a slight fever, mild headache and weakness of the extremities. A cerebrospinal fluid examination showed the elevation of cell number (cell number : 158/3, polynuclear cells : 29/3, and mononuclear cells : 129/3). Although spinal magnetic resonance imaging (MRI) did not show abnormal findings, fluid attenuated inversion recovery (FLAIR) image of the brain MRI showed a high signal area on the cerebral cortex. Acute disseminated encephalomyelitis (ADEM) was suspected from the clinical course, the cerebrospinal fluid examination, and brain MRI findings. A urethral catheter was indwelled for urinary retention, and steroid pulse therapy was promptly started. After removal of the urethral catheter seven days after the therapy initiation, normal urination without residual urine was observed. Findings of a cerebrospinal fluid test and brain MRI also showed improvement. |
著作権等: | 許諾条件により本文は2019/02/01に公開 |
DOI: | 10.14989/ActaUrolJap_64_1_17 |
URI: | http://hdl.handle.net/2433/229472 |
PubMed ID: | 29471599 |
出現コレクション: | Vol.64 No.1 |
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