免疫抑制掩盖泌尿病紧急情况:双边感染阻塞脏的病例报告
Philip Abolanle1, Maike Eylert1
1Urology Department, Royal Gwent Hospital, Newport, GBR.
Cureus
|December 30, 2025
概括
免疫抑制患者感染的阻塞脏可以呈现异常. 迅速的双边尿道支架和多学科的护理导致了成功的恢复和石头清除.
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.
- 免疫学 免疫学 免疫学
背景情况:
- 感染脏阻塞是泌尿外科紧急情况,可能导致败血症.
- 尿路结石通常会导致阻塞,需要紧急减压.
- 免疫抑制患者可能会表现出非典型的表现,使诊断复杂化.
研究的目的:
- 在免疫抑制患者的尿路结石中呈现双边阻塞病例.
- 要突出诊断和管理挑战在这个患者群体.
- 强调多学科协调的重要性.
主要方法:
- 一个中年妇女的病例报告,接受了双边肺移植,并服用免疫抑制剂 (塔克罗利斯,普雷迪尼索隆).
- 呈现出腹部疼痛,发烧,心率下降和低血压,但炎症标志物和功能正常.
- CT成像显示了双边尿路结石与微妙的阻塞特征;双边尿路支架进行了.
主要成果:
- 患者,尽管异常发现,经历了成功的双边尿管支架和重症监护入院,康复良好.
- 随后的尿路透镜和激光石术在初始干预后六周实现了完全的石头清除.
- 在六个月的随访期间,没有发现石头复发.
结论:
- 患有脏阻塞的免疫抑制患者可能会出现微妙或非典型的症状,这会给诊断带来挑战.
- 在疑似败血症的情况下,即便有非特异性发现,紧急泌尿器科干预也至关重要.
- 有效的管理依赖于涉及泌尿病学,病学和重症监护的多学科方法.
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