Lauesen N E
Urologisk afdeling, Aalborg Sygehus Nord.
Ugeskr Laeger. 1991 Nov 11;153(46):3247-8.
Urinary concretions, particularly in the upper urinary tract, occur in otherwise healthy children in connection with Bacillus Proteus urinary infections. In other European countries, this occurs in 40-70% while, on the other hand, it is particularly rare in Scandinavia. A case of obstructing pelvic concretion in a boy aged three months is presented. This is the youngest case which could be found in the literature. Pyelolithotomy was performed and the child has been free from recurrence for six years. At the commencement of the disease, pain due to renal calculi may be misinterpreted as being due to three-months intestinal colic. Formation of calculi is presumed to be due the ability of Bacillus Proteus to form urease. The frequency of recurrences is 3-8% and is lowest if the urine can be maintained sterile for the first three months after removal of the stone.
尿结石，尤其是上尿路结石，在原本健康的儿童中与变形杆菌尿路感染有关。在其他欧洲国家，这种情况发生的比例为40%至70%，而另一方面，在斯堪的纳维亚半岛则极为罕见。本文介绍了一例三个月大男婴的盆腔梗阻性结石病例。这是文献中能找到的最年幼病例。实施了肾盂切开取石术，该患儿六年未复发。在疾病初期，肾结石引起的疼痛可能会被误诊为三个月大婴儿的肠痉挛。结石形成被认为是由于变形杆菌具有产生脲酶的能力。复发频率为3%至8%，如果在结石取出后的头三个月能保持尿液无菌，复发率最低。
