Multiple Renal Abscess by Extended-Spectrum beta-Lactamase Producing Escherichia coli / 대한신장학회잡지
Korean Journal of Nephrology
;
: 460-463, 2005.
Artículo
en Coreano
| WPRIM
| ID: wpr-209726
ABSTRACT
Extended-spectrum beta-lactamase (ESBL) producing bacterial infection causes delayed response to antibiotic treatment and consequently results in serious problem, because it can hydrolyze the majority of beta-lactam antibiotics. Here we report a case of multiple renal abscess by ESBL producing Escherichia coli in a patient with diabetes mellitus who had a history of repetitive urinary tract infection. A 49-year old woman was admitted to our hospital because of intermittent fever, left flank pain, and vomiting. She had been diagnosed as acute pyelonephritis and treated with the first and third cephalosporin for 1 month at a clinic. At admission, urinary bacterial culture revealed Escherichia coli resistant to both the first and third cephalosporin such as cefotaxime, ceftriaxone, and ceftazidime. Double disk synergy test confirmed ESBL. Abdominal computed tomography demonstrated multiple renal abscess. After treatment of imipenam for 4 weeks, she discharged with improved condition.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pielonefritis
/
Infecciones Bacterianas
/
Infecciones Urinarias
/
Vómitos
/
Beta-Lactamasas
/
Ceftriaxona
/
Cefotaxima
/
Ceftazidima
/
Dolor en el Flanco
/
Diabetes Mellitus
Límite:
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Nephrology
Año:
2005
Tipo del documento:
Artículo
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