PDF(Pubmed)
Abstract：
In older adults, diagnosing, treating, and preventing urinary tract infections (UTIs) can be challenging. This case is of an 82-year-old female of white descent, who was admitted to a post-acute care facility following hospitalization for delirium and a UTI. Hypoactive delirium may be the only clinical manifestation of recurrent UTI. Due to challenges in obtaining a history from this patient with dementia, she had to be admitted multiple times for sepsis. During her final hospitalization, a CT scan of the abdomen and pelvis was ordered, which revealed an obstructed kidney stone as the cause of her recurrent UTIs. Recurrent UTIs especially in patients with dementia should prompt further imaging to look for kidney stones. Factors like dehydration and poor oral intake are risk factors for kidney stones, which patients with dementia are susceptible to.
摘要：
在老年人中,诊断,治疗,预防尿路感染（UTI）可能具有挑战性。这个案子是一个82岁的白人血统的女性,他因谵妄和UTI住院后被送入急性后护理机构。谵妄可能是复发性UTI的唯一临床表现。由于从这位痴呆症患者那里获得病史的挑战，她因脓毒症多次入院.在她最后一次住院期间，要求对腹部和骨盆进行CT扫描，显示肾结石阻塞是她复发性尿路感染的原因。复发性尿路感染，尤其是痴呆症患者，应提示进一步成像以寻找肾结石。脱水和口服不足等因素是肾结石的危险因素，痴呆症患者易感。
