Hyperammonemic encephalopathy with septic shock caused by obstructive urinary tract infection

A 61-year-old woman was evaluated because of 2 days of anuria, fever, anorexia, and progressive decline in mental status. On admission, she appeared confused with a GCS score of E2V2M4, and her blood ammonia level was elevated (176 μg/dL). Abdominal computed tomography showed bilateral hydronephrosi...

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Detalles Bibliográficos
Autores principales: Yohei, Kida, Takehiro, Oiwa, Ryusuke, Deguchi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125799/
https://www.ncbi.nlm.nih.gov/pubmed/30191129
http://dx.doi.org/10.1016/j.idcr.2018.e00436
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author Yohei, Kida
Takehiro, Oiwa
Ryusuke, Deguchi
author_facet Yohei, Kida
Takehiro, Oiwa
Ryusuke, Deguchi
author_sort Yohei, Kida
collection PubMed
description A 61-year-old woman was evaluated because of 2 days of anuria, fever, anorexia, and progressive decline in mental status. On admission, she appeared confused with a GCS score of E2V2M4, and her blood ammonia level was elevated (176 μg/dL). Abdominal computed tomography showed bilateral hydronephrosis and bladder fullness with wall thickness in spite of indwelling bladder catheter. Her catheter was obstructed by blood clot. Blood cultures, blood clot culture, and one urine culture all yielded Proteus mirabilis. Obstructive urinary tract infection complicated with septic shock was diagnosed. After treatment, her ammonia level normalized.
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spelling pubmed-61257992018-09-06 Hyperammonemic encephalopathy with septic shock caused by obstructive urinary tract infection Yohei, Kida Takehiro, Oiwa Ryusuke, Deguchi IDCases Article A 61-year-old woman was evaluated because of 2 days of anuria, fever, anorexia, and progressive decline in mental status. On admission, she appeared confused with a GCS score of E2V2M4, and her blood ammonia level was elevated (176 μg/dL). Abdominal computed tomography showed bilateral hydronephrosis and bladder fullness with wall thickness in spite of indwelling bladder catheter. Her catheter was obstructed by blood clot. Blood cultures, blood clot culture, and one urine culture all yielded Proteus mirabilis. Obstructive urinary tract infection complicated with septic shock was diagnosed. After treatment, her ammonia level normalized. Elsevier 2018-08-10 /pmc/articles/PMC6125799/ /pubmed/30191129 http://dx.doi.org/10.1016/j.idcr.2018.e00436 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Yohei, Kida
Takehiro, Oiwa
Ryusuke, Deguchi
Hyperammonemic encephalopathy with septic shock caused by obstructive urinary tract infection
title Hyperammonemic encephalopathy with septic shock caused by obstructive urinary tract infection
title_full Hyperammonemic encephalopathy with septic shock caused by obstructive urinary tract infection
title_fullStr Hyperammonemic encephalopathy with septic shock caused by obstructive urinary tract infection
title_full_unstemmed Hyperammonemic encephalopathy with septic shock caused by obstructive urinary tract infection
title_short Hyperammonemic encephalopathy with septic shock caused by obstructive urinary tract infection
title_sort hyperammonemic encephalopathy with septic shock caused by obstructive urinary tract infection
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125799/
https://www.ncbi.nlm.nih.gov/pubmed/30191129
http://dx.doi.org/10.1016/j.idcr.2018.e00436
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AT ryusukedeguchi hyperammonemicencephalopathywithsepticshockcausedbyobstructiveurinarytractinfection

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