Metabolic evaluation in patients with infected nephrolithiasis: Is it necessary?
| Autor: | Mario Mangano, Elisa Cicerello, Gian Davide Cova, Luigi Maccatrozzo, Franco Merlo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Pure infected nephrolithiasis Struvite Urology Urinary system Hypercalciuria Calcium oxalate 02 engineering and technology Urine Nephrolithiasis lcsh:RC870-923 Gastroenterology Citric Acid 03 medical and health sciences chemistry.chemical_compound Kidney Calculi Young Adult 0302 clinical medicine Internal medicine Apatites medicine Humans In patient Aged Hyperoxaluria Calcium Oxalate business.industry Middle Aged 021001 nanoscience & nanotechnology Hyperuricosuria medicine.disease lcsh:Diseases of the genitourinary system. Urology Uric Acid Endocrinology chemistry 030220 oncology & carcinogenesis Uric acid Female Mixed infected nephrolithiasis 0210 nano-technology business Metabolic evaluation Follow-Up Studies |
| Zdroj: | Archivio Italiano di Urologia e Andrologia, Vol 88, Iss 3, Pp 208-211 (2016) |
| ISSN: | 2282-4197 1124-3562 |
| Popis: | Fifty-four patients with infected renal lithiasis underwent complete metabolic evaluation searching for underlying factors contributing to stone formation including urine analysis and culture. Metabolic abnormalities were significantly more present in patients with mixed infected stones (struvite+/-apatite and calcium oxalate) than in patients with pure infected stones (struvite+/-carbonate apatite): hypercalciuria in 40%, hyperoxaluria in 34% and hyperuricosuria in 28% (p < 0.05). Urinary excretion of citrate was low in both groups without statistically significant difference (238+/-117 mg/24 h vs 214+/-104 mg/24/h, t = 0.72, p = 0.5). The few metabolic abnormalities present in patients with pure infected stones should suggest that urinary tract infection could change the urine chemistry in a lithogenic direction and be only cause of stone formation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|