Lozanovski V J, Gucev Z, Avramoski V J, Kirovski I, Makreski P, Tasic V
Hippokratia. 2011 Apr;15(2):181-3.
We present a 5-year-old boy with pneumonia who complained of right lumbar pain on the 7(th) day of treatment with Ceftriaxone. Ultrasound examination revealed mild to moderate right hydronephrosis. Under spasmoanalgetic therapy and hydration there was spontaneous passage of three small calculi. Infrared spectroscopy showed that the calculi were composed of calcium-ceftriaxonate. Full metabolic investigation was performed and moderate hypercalciuria was detected, suggesting the role of hypercalciuria in ceftriaxone-associated nephrolithiasis.
我们报告一名5岁患肺炎的男孩,在接受头孢曲松治疗第7天时出现右腰疼痛。超声检查显示右肾轻度至中度积水。在解痉镇痛治疗和补液后,有3枚小结石自行排出。红外光谱显示结石由头孢曲松钙组成。进行了全面的代谢检查,检测到中度高钙尿症,提示高钙尿症在头孢曲松相关肾结石形成中的作用。