多重含气体的结石:一个病例报告
Mohammed Imran Quraishi1, Mark Andrew Rowley1, Daniel Fulks1
1Department of Radiology, University of Tennessee Medical Center-Knoxville, Knoxville, TN, USA.
The American journal of case reports
|January 10, 2025
概括
含有气体的结石的质性尿路感染很少见. 立即的石可以导致败血症;建议首先服用抗生素和排水.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 传染性疾病 传染性疾病
背景情况:
- 血性尿路感染 (UTI) 是不常见的,严重的疾病往往与结石有关.
- 结石中的气体是一种罕见的放射性发现,关于其重要性,原因和管理的公布数据有限.
- 这一案例突出显示了糖尿病和复发性结石病患者多种含有气体的结石.
研究的目的:
- 描述一种罕见的多重含有气体的结石病例.
- 讨论潜在的并发症和这些病例的适当管理.
- 强调与立即干预相关的风险,如石.
主要方法:
- 一个63岁妇女的病例报告,她患有糖尿病和复发性腎病,呈现出严重的出血症.
- 诊断工作包括成像显示多个含气体的结石和水.
- 患者接受了石术和支架安置,随后进行了败血症和阳性尿液培养,以检测Proteus mirabilis.
主要成果:
- 该患者出现了多个含有气体的结石和水性.
- 后lithotripsy,患者发病败血症,与Proteus奇迹的文化中隔离.
- 这表明,在这些情况下,lithotripsy可能会引发内毒素介导的败血症.
结论:
- 带有尿路感染的含气性结石的治疗需要广泛的抗生素和在石头被移除之前的排水 (透皮瘤术).
- 应避免立即的石灰质,因为因子毒素中介性败血症的风险.
- 这一案例强调了对这种罕见的临床表现采取谨慎管理策略的重要性.
相关概念视频
01:28Urinary Tract Calculi I: Introduction
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
01:30Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
01:27Urinary Tract Calculi IV: Nutrition Therapy and Prevention
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
01:28Urinary Tract Calculi V: Nursing Management
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...