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01121 Journal of Nara Medical Association >
Vol.50 No.4 >
このアイテムの引用には次の識別子を使用してください:
http://hdl.handle.net/10564/535
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タイトル: | 敗血症性ショックをきたした糖尿病合併尿路感染症の1例 |
その他のタイトル: | DEVELOPMENT OF SEPTIC SHOCK TRIGGERED BY URINARY TRACT INFECTION IN A PATIENT WITH DIABETES MELLITUS |
著者: | 上田, 重彦 安, 辰一 足立, 聡 奥, 和美 高木, 正博 松本, 昌美 岸野, 辰樹 田畑, 尚一 |
キーワード: | urosepsis diabetes mellitus |
発行日: | 1999年8月31日 |
出版者: | 奈良医学会 |
引用: | Journal of Nara Medical Association Vol.50 No.4 p.338-343 |
抄録: | A 70-year-old woman was admitted to our hospital because of fever and
loss of consciousness. She had been quite well until the morning of the admission day, but
then developed fever and became drowsy in several hours. On arrival at our hospital, her
consciousness was "Ⅱ-10"(by Japan Coma Scale) and physical findings presented an
impending shock state including very low blood pressure and oligouria. Laboratory
examinations disclosed marked leukocytosis and elevation of C-reactive protein. Urine
specimen contained some bacteria, and the culture studies demonstrated the growth of
Escherichia coli, from both specimens of arterial blood and urine. We made a diagnosis of
septic shock, probably originating in urinary infection. The patient recovered from the
shock state in 24 hr during the period of intensive treatments including administration of
dopamine and antibiotics "Piperacillin sodium". Repeated culture studies of blood and urine
turned to be negative on the third day of the treatment period. No anatomical or physiologi-
cal abnormality was demonstrated in the urinary tract. However, high levels of blood
glucose and glucosuria were observed during the treatment. Although the glucose level was
fairly controlled without any medication except diet therapy, the existence of diabetes
mellitus might have been a triggering factor for urinary infection causing uroseptic shock. |
URI: | http://hdl.handle.net/10564/535 |
ISSN: | 13450069 |
出現コレクション: | Vol.50 No.4
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