title: [Hyperammonemia in hydronephrosis].
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.
authors.affiliation: Merwede Ziekenhuis, afd. Inwendige Geneeskunde en Gastro-enterologie, Dordrecht.
authors.forename: P L
authors.initials: PL
authors.lastname: van Daele
authors.forename: J C
authors.initials: JC
authors.lastname: Quero Guillen
authors.forename: W
authors.initials: W
authors.lastname: Lesterhuis
authors.forename: J
authors.initials: J
authors.lastname: Van Der Meulen
mesh_terms: 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
chemical_list: D000641:Ammonia
vernacular_title: Hyperammoniëmie bij hydronefrose.