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Title: 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
Other Titles: A Case of Consciousness Disturbance Due to Hyperammonemia Associated with Urinary Tract Infections
Authors: 中森, 央貴  KAKEN_name
藤村, 正亮  KAKEN_name
白石, 智大  KAKEN_name
杉山, 真康  KAKEN_name
西川, 里佳  KAKEN_name
関田, 信之  KAKEN_name
近藤, 幸尋  KAKEN_name
三上, 和男  KAKEN_name
Author's alias: Nakamori, Hiroki
Fujimura, Masaaki
Shiraishi, Tomohiro
Sugiyama, Masayasu
Nishikawa, Rika
Sekita, Nobuyuki
Kondo, Yukihiro
Mikami, Kazuo
Keywords: Urinary tract infection
Hyperammonemia
Consciousness disturbance and hydronephrosis
Issue Date: 31-May-2019
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要 = Acta urologica Japonica
Volume: 65
Issue: 5
Start page: 163
End page: 166
Abstract: 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.
Rights: 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
Appears in Collections:Vol.65 No.5

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