摘要
糖尿病易并发尿路感染,若发展为肾脓肿且症状、发病初期影像学检查不典型,极易漏诊。1例89岁患有2型糖尿病的男性,连续两次住院期间出现发热,根据多次CT、彩超及化验室检查结果,考虑为肾脓肿,给予美罗培南联合经皮肾脓肿穿刺治疗后,症状好转。糖尿病并发肾脓肿,要尽早明确诊断及致病菌,启用敏感抗生素,给予足量、足疗程治疗,必要时联合有创治疗,可以使病情尽快得到控制,避免复发。钠-葡萄糖协同转运蛋白2(SGLT-2)抑制剂和尿路感染(UTI)之间有关联,老年高龄有UTI病史的患者要尽量避免使用SGLT-2抑制剂。
Diabetes is easy to be complicated with urinary tract infection(UTI). If it develops into renal abscess with atypical symptoms and imaging examination at the initial stage of onset, it is easy to be missed diagnosis. An 89-yearold male with type 2 diabetes mellitus developed fever during two consecutive hospitalizations. According to the results of CT, color Doppler ultrasound and laboratory examination, renal abscess was considered. And his symptoms improved after being treated with meropenem combined with percutaneous puncture of renal abscess. For diabetes complicated with renal abscess, it is necessary to make clear the diagnosis and pathogenic bacteria as soon as possible, use sensitive antibiotics, give sufficient dosage and treatment course, and combine invasive treatment if necessary, so as to control the disease as soon as possible and avoid relapse. There is a correlation between sodium-dependent glucose transporters 2(SGLT-2) inhibitors and UTI, so elderly patients with a history of UTI should avoid using SGLT-2 inhibitor as much as possible.
作者
安淑媛
王美霞
张涛
AN Shuyuan;WANG Meixia;ZHANG Tao(Department of Internal Medicine,Qingdao Fuwai Cardiovascular Hospital,Shandong,Qingdao 266000,China)
出处
《中国医药科学》
2021年第6期238-241,共4页
China Medicine And Pharmacy
作者简介
通讯作者:张涛。
