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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 53 - 57 (5page)
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Streptococcus agalactiae or group B streptococcus (GBS) is associated with infections in neonates and pregnant women. Herein, we describe a rare case of GBS renal abscess with peritonitis and pleural effusion in a 17-year-old girl with type 1 diabetes mellitus. The girl was admitted due to fever and right flank pain. Laboratory findings included leukocytosis and increased C-reactive protein level and erythrocyte sedimentation rate. Her serum glucose level was 484 mg/dL. Urinalysis showed no pyuria. Renal sonography revealed parenchymal swelling in the right kidney. The patient was administered intravenous cefotaxime. Urine and blood cultures were negative. Fever seemed to improve, but the following day, she complained of abdominal pain and fever. Antibiotic was switched to imipenem, and abdominal and pelvic CT revealed a ruptured right renal abscess, peritonitis, and bilateral pleural effusion with atelectasis. Pigtail catheter drainage of the abscess was performed. Culture from the abscess was positive for GBS, and fever subsided 2 days after the drainage. She was discharged with oral cefixime. The clinical course of urinary tract infections (UTIs) can be atypical in patients with diabetes, and GBS can be a cause of UTIs. Prompt diagnosis and management are necessary to prevent complications in patients showing atypical courses.
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참고문헌 (15)
참고문헌 신청
Ulett KB / 2012 / Group B streptococcus cystitis presenting in a diabetic patient with a massive abdominopelvic abscess / J Med Case Rep 6:237
Leclercq SY / 2012 / Pathogenesis of Streptococcus urinary tract infection depends on bacterial strain and B-hemolysin/cytolysin that mediates cytotoxicity, cytokine synthesis, inflammation and virulence / Nature 6:29000
이진호 / 2009 / 알로퓨리놀 사용 후 발생한 진성 적혈구 감소증 1예 / 대한내과학회지 76(2):220~224
Mnif MF / 2013 / Complicated urinary tract infections associated with diabetes mellitus: Pathogenesis, diagnosis and management / Indian J Endocrinol Metab 17:442~445
Yanai H / 2012 / Group B streptococcus infection and diabetes : A review / J Microbiol Antimicrob 4:1~5
Leclercq SY / 2012 / Pathogenesis of Streptococcus urinary tract infection depends on bacterial strain and B-hemolysin/cytolysin that mediates cytotoxicity, cytokine synthesis, inflammation and virulence / Nature 6:29000
이진호 / 2009 / 알로퓨리놀 사용 후 발생한 진성 적혈구 감소증 1예 / 대한내과학회지 76(2):220~224
Mnif MF / 2013 / Complicated urinary tract infections associated with diabetes mellitus: Pathogenesis, diagnosis and management / Indian J Endocrinol Metab 17:442~445
Yanai H / 2012 / Group B streptococcus infection and diabetes : A review / J Microbiol Antimicrob 4:1~5
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