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[Egg-shaped macro-lithiasis]
T Richard1, C Hauzeur2, M Vanhaeverbeek1
1Service de Médecine interne, Hôpital André Vésale, C.H.U. de Charleroi.
Revue Medicale De Bruxelles
|June 28, 2017
Summary
A large struvite kidney stone (5 cm) in a 76-year-old female was successfully removed after antibiotic treatment for Proteus bacteriuria. Analysis revealed a type IVc stone structure.
Area of Science:
- Nephrology
- Urology
- Microbiology
Context:
- A 76-year-old female presented with left flank pain and elevated inflammatory markers.
- Imaging revealed a large, 5 cm egg-shaped kidney stone (macro-lithiasis).
- The patient had concurrent Proteus bacteriuria.
Purpose:
- To report a case of large struvite kidney stone management.
- To describe the diagnostic and therapeutic approach.
- To characterize the stone's micro-structure.
Summary:
- The patient underwent a 7-day course of levofloxacin to treat Proteus bacteriuria.
- Laparoscopic nephrolithotomy was performed for the kidney stone removal.
- Post-operative analysis identified the stone as struvite lithiasis with a type IVc disorganized radial-section nuclear structure.
Impact:
- Highlights the importance of addressing bacteriuria in kidney stone management.
- Demonstrates the efficacy of a combined antibiotic and surgical approach.
- Provides insights into the micro-structural characteristics of complex struvite stones.
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