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.
Department of Urology, University Hospital Leuven, Leuven, Belgium.
Maarten
M
Albersen
Steven
S
Joniau
Hein
H
Van Poppel
Pieter-Jan
PJ
Cuyle
Daniel C
DC
Knockaert
Wouter
W
Meersseman
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