scholarly journals A CASE OF A LIFE-THREATENING ELECTROLYTE DISTURBANCE IN A CHILD WITH URINARY TRACT INFECTION

Author(s):  
Odeta Bobelyte
Author(s):  
Neil Sheerin

Infection of the urinary tract is one of the commonest human infections. It can vary in severity from asymptomatic colonization, through self-limiting but distressing lower tract infection, to life-threatening sepsis. Any site in the urinary tract can be affected. The site of infection determines the pattern of symptoms, but this is also influenced by the age at presentation. The age at presentation and the nature of symptoms will not only suggest a clinical diagnosis, but also guide investigation and treatment. This chapter acts as an introduction to others in this section which address the different presentations of infections of the lower and upper urinary tracts in adults.


2006 ◽  
Vol 2006 ◽  
pp. 1-3 ◽  
Author(s):  
Jesus R. Alvarez ◽  
Sangeeta Lamba ◽  
Keisha Y. Dyer ◽  
Joseph J. Apuzzio

We describe a case of a urinary tract infection with an unusual pathogen, Photobacterium damsela, in a pregnant female. This pathogen has been described as having a virulent life threatening nature, so a detailed history and prompt treatment is needed.


2022 ◽  
Vol 70 (1) ◽  
Author(s):  
Yasintha S. Lugira ◽  
Fransisca D. Kimaro ◽  
Mkhoi L. Mkhoi ◽  
Samuel G. Mafwenga ◽  
Angelina A. Joho ◽  
...  

Abstract Background Urinary tract infection (UTI) is the most common and life-threatening bacterial infection among neonates. This study aimed to determine the prevalence, aetiology, and susceptible antimicrobial agents among neonates with UTI. Methods This was a cross-sectional analytical hospital-based study that included 152 neonates with clinical sepsis who were admitted at Dodoma regional referral hospital from January to June 2020. Bacterial growth of 1 × 103 colony forming units/mL of a single uropathogen was used to define the presence of UTI. Statistical analysis was performed using SPSS version 23.0 and multivariate analysis was used to determine the predicting factors of UTI. P <0.05 was regarded statistically significant. Results The prevalence of UTI was 18.4% (28/152). Klebsiella pneumoniae 64.3% (18/28) and Enterobacter spp. 35.7% (10/28) were the bacterial agents isolated. The bacterial isolates were 90%, and 60% sensitive to ciprofloxacin and amikacin, respectively. Low Apgar score (AOR = 12.76, 95% CI = 4.17–39.06, p<0.001), prolonged labour (AOR = 5.36, 95% CI = 1.28–22.52, p = 0.022), positive urine nitrite test (AOR = 26.67, 95% CI = 7.75–91.70, p<0.001), and positive leucocyte esterase test (AOR = 6.64, 95% CI = 1.47–29.97, p = 0.014) were potential predictors of UTI. Conclusion The prevalence of UTI confirmed by urine culture among neonates that were included in the present study indicates that this problem is common in the population where the study was conducted. Klebsiella pneumoniae and Enterobacter spp. were the uropathogens which were isolated. Ciprofloxacin, nitrofurantoin, and amikacin were sensitive to the isolated uropathogens.


Author(s):  
Richard Edlich ◽  
Shelley S. Mason ◽  
Jill J. Dahlstrom ◽  
Erin M. Swainston ◽  
William B. Long III ◽  
...  

2021 ◽  
Vol 8 (10) ◽  
pp. 371-373
Author(s):  
N Rashmi ◽  
Devesh Bhaskar Yerrapragada ◽  
M G Anil Kumar

Vomiting in young children can be due to a varied etiology ranging from gastritis, urinary tract infection, and metabolic problems to serious life-threatening conditions such as myocarditis, intracranial space occupying lesions, and acute surgical conditions such as intussusception, malrotation, and torsion testis. However, intractable vomiting in a toddler as presented here was due to an unexpected cause as the history was not initially forthcoming for the same. Here, we presented the case of a 21-month-old girl who was admitted with vomiting and low-grade fever, initially suspected to have viral fever/urinary tract infection. All relevant investigations were within normal limits, ruling out metabolic causes. However, on day 3, she showed features of intestinal obstruction for which imaging was done which revealed a mass in the distal ileum, and she was taken up for immediate laparotomy and the ileal mass was excised, which turned out to be a foreign body, that is, three rubber balls. The child recovered completely post-surgery and was discharged three days later. Hence, the lessons learnt from this case would be that, there is no short cut to detailed history taking and meticulous clinical examination; using imaging at the appropriate time helps in timely intervention and life-saving management.


QJM ◽  
2008 ◽  
Vol 102 (3) ◽  
pp. 223-223
Author(s):  
J.-T. Sun ◽  
H.-P. Wang ◽  
W.-C. Lien

2017 ◽  
Vol 11 (2) ◽  
pp. 364-368 ◽  
Author(s):  
Abhinav Tiwari ◽  
Khola Qamar ◽  
Himani Sharma ◽  
Sameh Bashar Almadani

Celiac crisis is a rare life-threatening presentation of celiac disease that manifests as profuse diarrhea, hypoproteinemia, and severe metabolic disturbances. It may be precipitated by a general immune stimulus such as surgery, infection, or pregnancy. We report the case of a 26-year-old woman who presented with a celiac crisis, potentially triggered by a preceding urinary tract infection. Metabolic derangement is caused by malabsorption and profuse diarrhea, which can be unremitting unless the celiac crisis is recognized, and treatment with gluten restriction is initiated.


2021 ◽  
Vol 8 (5) ◽  
pp. 712
Author(s):  
Desak Putu Gayatri Saraswati Seputra ◽  
Luh Putu Dea Sasmita Pralambari ◽  
Ketut Suryana

Liver cirrhosis is a chronic liver injury marked by necro-inflammation and fibrogenesis. It is associated with several life-threatening complications. Hepatic encephalopathy remains to be one of the most debilitating complication of liver cirrhosis. The occurrence of hepatic encephalopathy may be directly related to endogenous worsening of liver function or occurs in the presence of specific precipitating factor. Infection such as urinary tract infection is a common precipitant of hepatic encephalopathy. We present a case of 66 year old female with recurrent hepatic encephalopathy in hepatitis B-related liver cirrhosis precipitated by urinary tract infection. Rapid and precise recognition of precipitating factor in hepatic encephalopathy is very substantial for implementation of preventive measures and optimal treatment plan in order to achieve better outcomes in liver cirrhosis patient.


2021 ◽  
Vol 25 (2) ◽  
pp. 112-116
Author(s):  
Bo Gyung Mun ◽  
Joo Hoon Lee ◽  
Young Seo Park ◽  
Jiwon Jung

Hyperammonemia is mainly caused by diseases related to liver failure. However, there are also non-hepatic causes of hyperammonemia, such as urinary tract infection (UTI) due to urease-producing organisms. Urease production by these bacteria induces a hydrolysis of urinary urea into ammonia that can cross the urothelial cell membrane and diffuse into blood vessels, leading to hyperammonemia. Delayed diagnosis and treatment of hyperammonemia can lead to lethal encephalopathy that can cause brain damage and life-threatening conditions. In the presence of obstructive uropathy, UTI by urease-producing bacteria can lead to more severe hyperammonemia due to enhanced resorption of ammonia into the systemic circulation. In this report, we present a case of acute severe hyperammonemic encephalopathy leading to brain death due to accumulation of ammonia in blood caused by Morganella morganii UTI in a 10-year-old girl with cloacal anomaly, causing obstructive uropathy even after multiple corrections.


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