氯胺酮诱发的尿病：青少年中一个日益严重的医疗问题中的诊断陷阱。
Ketamine-induced uropathy: A diagnostic pitfall in an increasing healthcare issue in youngsters.
作者信息
Lamers Glenn, Van Dyck Johan, Schapmans Stijn, De Coster Katrien, Mortier Dries, Zabegalina Natalia
机构信息
Department of Urology, Maria Hospital North Limburg, Maesensveld 1, 3900, Pelt, Belgium.
Department of Urology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
出版信息
Urol Case Rep. 2022 Feb 1;42:102019. doi: 10.1016/j.eucr.2022.102019. eCollection 2022 May.
Ketamine induced uropathy (KIU) is a urological condition increasing in prevalence, with similar symptoms to UTI, OAB syndrome or interstitial cystitis/bladder pain syndrome. We present the case of an 18-year old male who established severe LUTS and acute kidney injury due to KIU, in a short time-span of 6 months. Since cessation of ketamine is the cornerstone of treating KIU, correct and early diagnosis is essential. Physicians should therefore consider KIU as a differential diagnosis in storage LUTS, especially in younger patients with therapy-resistant LUTS.
氯胺酮诱发的尿路病（KIU）是一种患病率不断上升的泌尿系统疾病，其症状与尿路感染、膀胱过度活动症或间质性膀胱炎/膀胱疼痛综合征相似。我们报告了一例18岁男性患者，在短短6个月的时间内因KIU出现了严重的下尿路症状（LUTS）和急性肾损伤。由于停用氯胺酮是治疗KIU的基石，正确和早期诊断至关重要。因此，医生在诊断储尿期LUTS时应将KIU作为鉴别诊断，尤其是在治疗抵抗性LUTS的年轻患者中。
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