Dissolution of struvite stones with ascorbic acid

IF 0.5 Q4 UROLOGY & NEPHROLOGY Urology Case Reports Pub Date : 2025-01-01 DOI:10.1016/j.eucr.2024.102906
Satoshi Yoshikawa
{"title":"Dissolution of struvite stones with ascorbic acid","authors":"Satoshi Yoshikawa","doi":"10.1016/j.eucr.2024.102906","DOIUrl":null,"url":null,"abstract":"<div><div>This case report describes an elderly man with a history of recurrent urinary tract infections and obstructive pyelonephritis with struvite stones caused by Proteus mirabilis. Despite appropriate antibiotic treatment, the stones increased in size, necessitating alternative therapy. This case highlights the use of ascorbic acid to lower the urine pH, which contributes to the dissolution of struvite stones. Dual-energy CT was used to differentiate the stone composition for the initiation of ascorbic acid. These findings suggest that ascorbic acid can accelerate struvite stone dissolution, and that dual-energy CT is valuable for both initial diagnosis and follow-up.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"58 ","pages":"Article 102906"},"PeriodicalIF":0.5000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699346/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214442024002602","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

This case report describes an elderly man with a history of recurrent urinary tract infections and obstructive pyelonephritis with struvite stones caused by Proteus mirabilis. Despite appropriate antibiotic treatment, the stones increased in size, necessitating alternative therapy. This case highlights the use of ascorbic acid to lower the urine pH, which contributes to the dissolution of struvite stones. Dual-energy CT was used to differentiate the stone composition for the initiation of ascorbic acid. These findings suggest that ascorbic acid can accelerate struvite stone dissolution, and that dual-energy CT is valuable for both initial diagnosis and follow-up.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
用抗坏血酸溶解鸟粪石。
这个病例报告描述了一个老年男子的历史复发尿路感染和梗阻性肾盂肾炎与鸟粪石结石引起的变形。尽管适当的抗生素治疗,结石的大小增加,需要替代治疗。本病例强调使用抗坏血酸来降低尿液pH值,这有助于鸟粪石的溶解。双能CT用于区分结石成分引发抗坏血酸。提示抗坏血酸能加速鸟粪石溶解,双能CT对早期诊断和随访均有价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Urology Case Reports
Urology Case Reports Medicine-Urology
CiteScore
0.90
自引率
20.00%
发文量
325
审稿时长
37 days
期刊最新文献
Drug-coated balloon dilation for female urethral stricture Urothelial carcinoma of the bladder presenting with abnormal inguinal metastasis Minimally invasive management of urinary fistula following robot-assisted partial nephrectomy: Case report A case of right renal cell carcinoma with an inferior vena cava tumor thrombus extending above the diaphragm resected without cardiopulmonary bypass A rare bladder tumour: A case presentation of primary low-grade leiomyosarcoma of the urinary bladder in a female patient
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1