[Hyperammonemia in hydronephrosis].
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.
van Daele
P L
PL
Merwede Ziekenhuis, afd. Inwendige Geneeskunde en Gastro-enterologie, Dordrecht.
Quero Guillen
J C
JC
Lesterhuis
W
W
Van Der Meulen
J
J
D000368:Aged; D000369:Aged, 80 and over; D000641:Ammonia / Q000097:blood* / Q000378:metabolism; D003128:Coma; D017809:Fatal Outcome; D006801:Humans; D006869:Hydronephrosis / Q000097:blood / Q000150:complications* / Q000382:microbiology; D008297:Male; D011512:Proteus Infections / Q000150:complications* / Q000175:diagnosis / Q000652:urine; D011513:Proteus mirabilis / Q000302:isolation & purification* / Q000378:metabolism; D014552:Urinary Tract Infections / Q000150:complications* / Q000175:diagnosis
D000641:Ammonia
Hyperammoniëmie bij hydronefrose.