Nephrolithiasis of infection: clinical case

Authors

  • Nadienka Rodríguez Ramos Especialista de Primer Grado en Nefrología. Asistente. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Joanchin Barrios Cambas Especialista de Primer Grado en Nefrología. Instructor. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Norky Gennie Chávez Morales Licenciada en Enfermería. Diplomada en Nefrología. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Maritza Ramos Ramos Licenciada en Química. Instructora. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Roberto Rodríguez Llanusa Licenciado en Química. Instructor. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Abstract

A clinical case of lithiasis of infection is presented, known as calculi of struvite associated to an underlying metabolic disease and diabetes mellitus type-2 of recent onset, with oliguria and infection as a result of a partial bilateral urinary infection. A 48 years-old patient having medical records of ischemic heart disease, hypertension and expulsion of kidney stones attended to the office in January 21, 2009 presenting normal values of creatinine, glycemia and uric acid before the admission; these values increased during the obstruction, except the uric acid. Renal and prostate imaging, the Uro-Computerized axial tomography and renal scintigraphy with MAG-3 showed data of interest. Differential diagnosis included extrinsic and intrinsic causes, the last one related to calculi, clots or renal necrotic papilla causing disorder of the free urinary flow. Patterns of good progress were established: recovery of the urinary volume, normal levels of glycemia and creatinine and a permanent negative uroculture. Therapeutic management motivated the use of percutaneous nephrolithotomy as one of the choices for endourologic procedures, as well as the control of the underlying diseases, being favorable for a good progress of the case.

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References

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Published

2010-03-19

How to Cite

1.
Rodríguez Ramos N, Barrios Cambas J, Chávez Morales NG, Ramos Ramos M, Rodríguez Llanusa R. Nephrolithiasis of infection: clinical case. Rev Ciencias Médicas [Internet]. 2010 Mar. 19 [cited 2025 Oct. 12];14(1):350-6. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/615

Issue

Vol. 14 No. 1 (2010)

Section

CASE REPORTS

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