Penicillin G-induced hemorrhagic cystitis with hydronephrosis
| Autor: | Tetsuya Ishiki, Kazufumi Nagahama, Koichiro Okumura, Shuichi Takishita, Ayano Kakihana, Takeshi Tana, Yusuke Ohya, Tomomasa Kamiyama, Yuichiro Toma, Kentaro Kohagura |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Urology Renal function Hemorrhage Hydronephrosis urologic and male genital diseases Hydroureter Cystitis Internal Medicine medicine Endocarditis Humans Hematuria business.industry Acute kidney injury Penicillin G General Medicine Endocarditis Bacterial Acute Kidney Injury Middle Aged medicine.disease Creatine Surgery Anti-Bacterial Agents Penicillin C-Reactive Protein Urinary tract obstruction business Tomography X-Ray Computed Hemorrhagic cystitis medicine.drug Ureteral Obstruction |
| Zdroj: | Internal medicine (Tokyo, Japan). 48(18) |
| ISSN: | 1349-7235 |
| Popis: | Irritable urological symptoms with gross hematuria and bilateral lumbar pain developed when the patient received penicillin G for endocarditis. These symptoms were followed by renal insufficiency. A contrast-enhanced abdominal computed tomography (CT) scan revealed a thickened bladder wall, bilateral hydroureter and hydronephrosis, suggesting hemorrhagic cystitis complicated with urinary tract obstruction. Urine culture was negative. After discontinuation of penicillin G, all symptoms subsided and renal function recovered; hence, penicillin G seems to have been associated with hemorrhagic cystitis and acute kidney injury. Positive findings in the drug lymphocyte stimulation test (DLST) for penicillin G were consistent with this diagnosis. |
| Databáze: | OpenAIRE |
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