DSpace university logo mark
詳細検索
Japanese | English 

NAOSITE : Nagasaki University's Academic Output SITE > 030 医学部 > 030 紀要 > Acta Medica Nagasakiensia > Volume 61, No. 1 >

A case of minimal change nephrotic syndrome complicated by ovarian vein thrombosis


ファイル 記述 サイズフォーマット
ActMed61_41.pdf589.01 kBAdobe PDF本文ファイル

タイトル: A case of minimal change nephrotic syndrome complicated by ovarian vein thrombosis
著者: Yamashita, Ayuko / Arai, Hideyuki / Torigoe, Kenta / Muraya, Yoshiaki / Nakashima, Masahiro / Obata, Yoko / Nishino, Tomoya
発行日: 2017年 1月
出版者: Nagasaki University School of Medicine / 長崎大学医学部
引用: Acta medica Nagasakiensia, 61(1), pp.41-44; 2017
抄録: The patient was a 54-year-old woman undergoing steroid treatment as a maintenance therapy of remission for minimal change nephrotic syndrome (MCNS). After pain appeared in her right-lower abdomen, an abdominal contrast computed tomography scan revealed thrombosis of the right ovarian vein. Laboratory evaluation on admission revealed proteinuria (3.5 g/day) and decreased serum total protein (4.9 g/dL) and albumin (2.4 g/dL) levels, indicating nephrotic syndrome recurrence. Leukocyte and C-reactive protein levels were elevated; over 100 leukocytes/high power field were detected in the urine, and E. coli was detected in both blood and urine cultures, indicating septicemia due to pyelonephritis. The thrombosis disappeared after approximately 27 weeks of heparin and warfarin treatment. The MCNS recurrence was treated with an increased steroid dose; after about 6 weeks, the patient was negative for urinary protein. Her pyelonephritis improved with antibiotic treatment. The patient was discharged in good condition on day 55 after admission. When patients with nephrotic syndrome complain of abdominal pain, venous thrombosis in the abdominal cavity should be considered.
キーワード: minimal change nephrotic syndrome / ovarian vein thrombosis / pyelonephritis
URI: http://hdl.handle.net/10069/37083
ISSN: 00016055
資料タイプ: Departmental Bulletin Paper
原稿種類: publisher
出現コレクション:Volume 61, No. 1

引用URI : http://hdl.handle.net/10069/37083

このリポジトリに保管されている文献はすべて著作権により保護されています。
印刷やダウンロード等データの複製は、調査研究・教育または学習を目的とする場合に限定されます。

 

Valid XHTML 1.0! Copyright © 2006-2015 長崎大学附属図書館 - お問い合わせ Powerd by DSpace