Urea-splitting urinary tract infection contributing to hyperammonemic encephalopathy.
BACKGROUND
We present a case of severe neurological symptoms caused by hyperammonemia, secondary to a urinary tract infection with urea-splitting bacteria.


METHODS
Blood analysis, urinalysis, urine culture, abdominal ultrasonography, cystography, CT.


METHODS
Hyperammonemia as a result of urinary tract infection with urea-spliting bacteria.


RESULTS
Desobstruction of the urinary tract and bladder or pouch rinsing, antibiotics, reduction of the dietary and endogenous nitrogen load, and endogenous nitrogen breakdown. Identification, prevention and treatment of underlying causes.
Albersen
Maarten
M
Department of Urology, University Hospital Leuven, Leuven, Belgium.
Joniau
Steven
S
Van Poppel
Hein
H
Cuyle
Pieter-Jan
PJ
Knockaert
Daniel C
DC
Meersseman
Wouter
W
D000328:Adult; D001927:Brain Diseases / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D022124:Hyperammonemia / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology*; D014508:Urea; D014552:Urinary Tract Infections / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology*
D014508:Urea