An unusual case of hyperammonemia in a 83-year-old woman

被引：0

作者：

Volpato, Stefano ^{[1
]}

Cavalieri, Margherita ^{[1
]}

Mari, Elisa ^{[1
]}

Fellin, Renato ^{[1
]}

机构：

[1] Univ Ferrara, Dept Clin & Expt Med, Sect Internal Med Gerontol & Geriatr, I-44100 Ferrara, Italy

来源：

AGING CLINICAL AND EXPERIMENTAL RESEARCH | 2007年 / 19卷 / 06期

关键词：

delirium; elderly; hyperammonemia; urinary tract infection;

D O I：

暂无

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Hyperammonemia, with confusion and lethargy, developed in a 83-year-old woman during a urinary tract infection by Morganella morganii, a urea-splitting Gram-negative bacillus. In this patient, it is thought to have resulted from the production of excessive amounts of ammonia due to bacterial urease and its subsequent reabsorption into systemic circulation. The patient was treated with specific antibiotic therapy, with resolution of the urinary tract infection, progressive reduction in ammonia blood levels, and a parallel improvement in her consciousness and cognitive status.

引用

页码：506 / 508

页数：3

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