title: [Infective lithiasis].
abstract: We report the case of a 69-year-old woman, with a BMI of 42.9, suffering from bilateral struvite calculi and who raised end stage renal failure. Urease-synthesizing bacteria, leading to the hydrolysis of urea into ammonium and to an alkaline urine (pH > 7.2), are required for struvite stone formation in humans. Struvite component constitutes the majority of staghom calculi. Patients with struvite stones could lose renal function because of obstructive or pyelonephritic episodes and surgical interventions on the kidney. Therapeutic success needs a follow up by a specialized uro-nephrologist team as soon as possible.
authors.affiliation: Division de Néphrologie, CHUV, Lausanne. frederic.barbey@chuv.hospvd.ch
authors.forename: Frédéric
authors.initials: F
authors.lastname: Barbey
authors.forename: François
authors.initials: F
authors.lastname: Cachat
authors.forename: Georges
authors.initials: G
authors.lastname: Halabi
authors.forename: Patrice
authors.initials: P
authors.lastname: Jichlinski
authors.forename: Michel
authors.initials: M
authors.lastname: Daudon
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D014552:Urinary Tract Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy