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BY-NC-ND 3.0 license Open Access Published by De Gruyter Open Access September 18, 2013

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

  • Tsuneaki Kenzaka EMAIL logo , Ayako Kumabe , Yuka Urushibara , Kensuke Minami and Takeshi Ishida
From the journal Open Medicine

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.

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Published Online: 2013-9-18
Published in Print: 2013-10-1

© 2013 Versita Warsaw

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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