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Open Medicine

formerly Central European Journal of Medicine

Editor-in-Chief: Darzynkiewicz, Zbigniew


IMPACT FACTOR 2018: 1.221

CiteScore 2018: 1.01

SCImago Journal Rank (SJR) 2018: 0.329
Source Normalized Impact per Paper (SNIP) 2018: 0.479

ICV 2017: 152.94

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2391-5463
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Volume 8, Issue 5

Issues

Volume 10 (2015)

Hyperammonemia in a patient with obstructive urinary tract infection due to Corynebacterium urealyticum

Tsuneaki Kenzaka
  • Division of General Medicine, Center for Community Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, 329-0498, Japan
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/ Ayako Kumabe
  • Division of General Medicine, Center for Community Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, 329-0498, Japan
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/ Yuka Urushibara
  • Division of General Medicine, Center for Community Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, 329-0498, Japan
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/ Kensuke Minami / Takeshi Ishida
  • First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University School of Medicine, Saitama, 330-8503, Japan
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Published Online: 2013-09-18 | DOI: https://doi.org/10.2478/s11536-013-0202-5

Abstract

A 93-year-old woman with neurogenic bladder was admitted to our hospital because of impaired consciousness. Her urine culture revealed urease-test-positive Corynebacterium urealyticum. She was diagnosed with hyperammonemia due to an obstructive urinary tract infection that was caused by urease-producing bacteria. The patient showed rapid improvement of impaired consciousness and hyperammonemia after urine analysis. It is necessary to consider obstructive urinary tract infection as a differential diagnosis of hyperammonemia, which commonly occurs in urinary tract infections owing to the presence of urease-producing bacteria. Relief from obstruction is the most important treatment for hyperammonemia caused by this mechanism.

Keywords: Urinary tract infection; Hyperammonemia; Corynebacterium urealyticum; Dysuria

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About the article

Published Online: 2013-09-18

Published in Print: 2013-10-01


Citation Information: Open Medicine, Volume 8, Issue 5, Pages 597–599, ISSN (Online) 2391-5463, DOI: https://doi.org/10.2478/s11536-013-0202-5.

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© 2013 Versita Warsaw. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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