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2013 | 8 | 5 | 597-599
Tytuł artykułu

Hyperammonemia in a patient with obstructive urinary tract infection due to Corynebacterium urealyticum

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
A 93-year-old woman with neurogenic bladder was admitted to our hospital because of impaired consciousness. Her urine culture revealed urease-test-positive Corynebacterium urealyticum. She was diagnosed with hyperammonemia due to an obstructive urinary tract infection that was caused by urease-producing bacteria. The patient showed rapid improvement of impaired consciousness and hyperammonemia after urine analysis. It is necessary to consider obstructive urinary tract infection as a differential diagnosis of hyperammonemia, which commonly occurs in urinary tract infections owing to the presence of urease-producing bacteria. Relief from obstruction is the most important treatment for hyperammonemia caused by this mechanism.
Wydawca
Czasopismo
Rocznik
Tom
8
Numer
5
Strony
597-599
Opis fizyczny
Daty
wydano
2013-10-01
online
2013-09-18
Twórcy
  • Division of General Medicine, Center for Community Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, 329-0498, Japan , smile.kenzaka@jichi.ac.jp
autor
  • Division of General Medicine, Center for Community Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, 329-0498, Japan
  • Division of General Medicine, Center for Community Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, 329-0498, Japan
  • Department of General Medicine, Toyooka Public Hospital, Toyooka, Hyogo, 668-0851, Japan
  • First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University School of Medicine, Saitama, 330-8503, Japan
Bibliografia
  • [1] Hawkes ND, Thomas GA, Jurewicz A, Williams OM, Hillier CE, McQueen IN, Shortland G. Non-hepatic hyperammonaemia: an important, potentially reversible cause of encephalopathy. Postgrad Med J. 2001;77:717–722 http://dx.doi.org/10.1136/pmj.77.913.717[Crossref]
  • [2] Pitcher D, Soto A, Soriano F, Valero-Guillen P. Classification of coryneform bacteria associated with human urinary tract infection (group D2) as Corynebacterium urealyticum sp. nov. Int J Syst Bacteriol. 1992;42:178–181 http://dx.doi.org/10.1099/00207713-42-1-178[Crossref]
  • [3] De Jonghe B, Janier V, Abderrahim N, Hillion D, Lacherade JC, Outin H. Urinary tract infection and coma. Lancet. 2002;360:996 http://dx.doi.org/10.1016/S0140-6736(02)11084-1[Crossref]
  • [4] Kaveggia FF, Thompson JS, Schafer EC, Fischer JL, Taylor RJ. Hyperammonemic encephalopathy in urinary diversion with urea-splitting urinary tract infection. Arch Intern Med. 1990;150:2389–2392 http://dx.doi.org/10.1001/archinte.1990.00390220121025[Crossref]
  • [5] Samtoy B, DeBeukelaer MM. Ammonia encephalopathy secondary to urinary tract infection with Proteus mirabilis. Pediatrics. 1980;65:294–297
  • [6] Oliver RM, Talbot S, Raman GV. Hyperammonaemic coma in ureterosigmoid urinary diversion. Postgrad Med J. 1989;65:502–504 http://dx.doi.org/10.1136/pgmj.65.765.502[Crossref]
  • [7] Albersen M, Joniau S, Van Poppel H, Cuyle PJ, Knockaert DC, Meersseman W. Urea-splitting urinary tract infection contributing to hyperammonemic encephalopathy. Nat Clin Pract Urol. 2007;4:455–458 http://dx.doi.org/10.1038/ncpuro0877[Crossref]
  • [8] Arai Y, Takeuchi H, Tomoyoshi T, Tatewaki K. Urease activity of bacteria in urine. Hinyokika Kiyo. 1989;35:277–281
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-013-0202-5
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