[Hyperammonemia in hydronephrosis]

Ned Tijdschr Geneeskd. 1998 Oct 31;142(44):2414-5.
[Article in Dutch]

Abstract

A man aged 81 with bilateral hydronephrosis presented with lethargy deepening into coma caused by hyperammonaemia. The hyperammonaemia was most likely caused by excessive absorption of ammonia produced by Proteus mirabilis in the obstructed and dilated urinary tract. The patient died within a few hours.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Ammonia / blood*
  • Ammonia / metabolism
  • Coma
  • Fatal Outcome
  • Humans
  • Hydronephrosis / blood
  • Hydronephrosis / complications*
  • Hydronephrosis / microbiology
  • Male
  • Proteus Infections / complications*
  • Proteus Infections / diagnosis
  • Proteus Infections / urine
  • Proteus mirabilis / isolation & purification*
  • Proteus mirabilis / metabolism
  • Urinary Tract Infections / complications*
  • Urinary Tract Infections / diagnosis

Substances

  • Ammonia