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タイトル: | 尿路感染症に伴う高アンモニア血症により意識障害を呈した1例 |
その他のタイトル: | A Case of Consciousness Disturbance Due to Hyperammonemia Associated with Urinary Tract Infections |
著者: | 中森, 央貴 藤村, 正亮 白石, 智大 杉山, 真康 西川, 里佳 関田, 信之 近藤, 幸尋 三上, 和男 |
著者名の別形: | Nakamori, Hiroki Fujimura, Masaaki Shiraishi, Tomohiro Sugiyama, Masayasu Nishikawa, Rika Sekita, Nobuyuki Kondo, Yukihiro Mikami, Kazuo |
キーワード: | Urinary tract infection Hyperammonemia Consciousness disturbance and hydronephrosis |
発行日: | 31-May-2019 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 65 |
号: | 5 |
開始ページ: | 163 |
終了ページ: | 166 |
抄録: | We describe the case of a patient with hyperammonemia owing to urinary tract infections. The patient, a 66-year-old-woman, was previously diagnosed with bilateral hydronephrosis. She was admitted to the emergency room with macrohematuria and bilateral lumbar pain, which persisted for 2 days. She was hospitalized with the diagnosis of pyelonephritis. Despite antibiotic treatment, she developed sudden disturbance in consciousness on the 2nd day of illness. To improve the hyperammonemia and metabolic acidosis, we initiated continuous hemodiafiltration (CHDF) and urinary drainage by bilateral nephrostomy, after which her consciousness improved, and she was discharged on day 19. For patients with urinary tract infections and who are unaware of disturbance in consciousness, it is important to consider that obstructive urinary tract infections can cause hyperammonemia. |
著作権等: | 許諾条件により本文は2020/06/01に公開 |
DOI: | 10.14989/ActaUrolJap_65_5_163 |
URI: | http://hdl.handle.net/2433/242271 |
PubMed ID: | 31247694 |
出現コレクション: | Vol.65 No.5 |
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