دورية أكاديمية
[Serious complications of urinary tract infection in diabetes: emphysematous pyelonephritis and endogenous endophthalmitis].
| العنوان: | [Serious complications of urinary tract infection in diabetes: emphysematous pyelonephritis and endogenous endophthalmitis]. |
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| عنوان ترانسليتريتد: | Ernstige complicaties van urineweginfectie bij diabetes. |
| المؤلفون: | Klouwens MJ; Onze Lieve Vrouwe Gasthuis, Amsterdam. michelleklouwens@hotmail.com, Blok WL, Witmer AN, Verouden CJ, Mura M |
| المصدر: | Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2013; Vol. 157 (7), pp. A5243. |
| نوع المنشور: | Case Reports; English Abstract; Journal Article |
| اللغة: | Dutch; Flemish |
| بيانات الدورية: | Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Print Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017?-: Amsterdam : Vereniging NTvG Original Publication: Houten : Bohn Stafleu van Loghum |
| مواضيع طبية MeSH: | Diabetes Complications*, Endophthalmitis/*etiology , Escherichia coli Infections/*complications , Pyelonephritis/*etiology , Urinary Tract Infections/*complications, Adult ; Anti-Bacterial Agents/therapeutic use ; Endophthalmitis/diagnosis ; Endophthalmitis/therapy ; Escherichia coli Infections/diagnosis ; Escherichia coli Infections/drug therapy ; Female ; Humans ; Pyelonephritis/diagnosis ; Pyelonephritis/drug therapy ; Urinary Tract Infections/diagnosis ; Urinary Tract Infections/drug therapy |
| مستخلص: | Background: Patients with poorly regulated diabetes mellitus may develop severe infectious complications. In this article we describe a diabetic patient with urosepsis, complicated by emphysematous pyelonephritis and endogenous endophthalmitis. Case Description: A 42-year-old diabetic woman presented with drowsiness and flank pain at the right side. She turned out to have diabetic ketoacidosis and urosepsis caused by Escherichia coli. Ultrasonography and CT scan of the abdomen showed subcapsulary gas configurations in the right kidney, which fit with the diagnosis of emphysematous pyelonephritis. Two days later, the patient complained of severe pain of the left eye with photophobia and blurred vision. The diagnosis of endogenous endophthalmitis was made. Treatment consisted of vitrectomy of the left eye, silicone oil injection and intravitreal and systemic antibiotics. The pyelonephritis was treated with antibiotics and percutaneous drainage. Conclusion: Both endogenous endophthalmitis and emphysematous pyelonephritis are rare complications of infection, which can result in severe damage to the eye and kidney. Treatment comprises both local and systemic therapy. With the increasing number of diabetics, we can expect more rare complications. |
| المشرفين على المادة: | 0 (Anti-Bacterial Agents) |
| تواريخ الأحداث: | Date Created: 20130215 Date Completed: 20130415 Latest Revision: 20130214 |
| رمز التحديث: | 20231215 |
| PMID: | 23406637 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1876-8784 |
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