頁籤選單縮合
題 名 | Duplex Renal Pelvis and Ureter in One Case Complicated with Pyogenic Sacroiliitis=化膿性薦腸骨關節炎出現在一有完全重複腎盂及輸尿管的病人 |
---|---|
作 者 | 林仙明; 周劍文; | 書刊名 | 中華民國風濕病雜誌 |
卷 期 | 14:1/2 民86.05 |
頁 次 | 頁63-68 |
分類號 | 415.954 |
關鍵詞 | Duplex renal pelvis and ureter; Urinary tract infection; Pyogenic sacroiliitis; |
語 文 | 英文(English) |
中文摘要 | 一位63歲女性病人因最近三天發燒、畏寒及右側臀部劇痛而住院。過去有三年糖尿病史並定時服用降血糖藥物。 血糖控制在 140 至 180 mg/dl。過去二年中曾四次反覆性尿道感染。理學檢查發現右側薦腸骨關節有紅腫及劇痛。實驗室檢驗發現白血球過多。尿液分析發現有膿尿。 血液及尿液細菌培養發現 Serretia marcescens。骨盆 X 光檢查發現右側薦腸骨關節邊緣不規則。靜脈腎盂攝影發現右側有完全重複的腎盂及輸尿管。經細針從右側薦腸骨關節抽出 5 ml 膿液。 Serretia marcescens 從膿液分離出。 Piperacillin(8 gm/d) 經靜脈注射共二週,再追加 Norfloxacin(600 gm/d) 口服共二週後,甚人可以自由活動。 |
英文摘要 | A 63-year-old female presented with fever, chills and severe right buttock pain of 3 days' duration. She had diabetes mellitus for three years and treated with Euglucon (10 mg/d) orally. Her blood sugar was maintained from 140 mg/dl to 180 mg/dl. She had urinary tract infections four times in the last 2 years. Physical examination found severe tenderness and local heat in the sacroiliac (SI) joint. Laboratory investigations showed leukocytosis. Urinalysis showed pyuria. Cultures of blood and urine yielded Serratia marcescens. Intravenous pyelography showed complete duplication of the right renal pelvis and ureter system. A radiogram of the pelvic bone showed blurred bony margins of the right sacroiliac joint. Needle aspiration of the right SI joint yielded 5 ml of pus and Serretia marcescens was isolated from the pus culture. Piperacillin (8 mg/d) intraveneously was given for 2 weeks followed by Norfloxacin (600 mg/d) orally for 2 weeks. After this the patient was ambulatory and was able to perform daily activies. |
本系統中英文摘要資訊取自各篇刊載內容。