ArticleInternal medicine (Tokyo, Japan)2024
A Diabetic Patient with Prolonged Hyperammonemia Due to Urinary Tract Infection Caused by Urease-producing Bacteria.
Article in Internal medicine (Tokyo, Japan), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Recurrent hyperammonemic encephalopathy involving urease-producing and nonurease-producing bacteria.Journal of family medicine and primary care · 2026Article
- Article
- Encrusted pyelitis and hyperammonemia due to Corynebacterium urealyticum in a kidney transplant recipient.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2025Article
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Authors and funding
7 authors.
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Abstract
Obstructive tract infection caused by urease-producing bacteria can lead to hyperammonemia. We herein report a 73-year-old woman with diabetes and compensated liver cirrhosis who developed obstructive pyelonephritis. Her consciousness level declined on day 3 of hospitalization. Blood tests revealed an elevated ammonia level of 140 μg/dL. Urine and blood cultures identified Proteus mirabilis as a urease-producing bacterium. The treatment included double J (WJ) catheter insertion and administration of antimicrobial agents. On day 7 of hospitalization, the ammonia level gradually decreased, and the patient's consciousness improved. However, despite these interventions, perinephric overflow of urine persisted, necessitating nephrectomy.
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