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Ceftriaxone is known to cause biliary pseudolithiasis and, rarely, nephrolithiasis mainly in children. However, we reported the development of bilateral distal ureteral ceftriaxone-associated lithiasis in 7 adults, which suggests that the risk of ureterolithiasis impaction should be considered when treating patients with ceftriaxone, even in adults. To avoid strengthening greater renal damage, ureteroscopic insertion of double J stents may be an alternative management for patients with ureteral ceftriaxone-associated lithiasis.

Citation

Zhao-Lun Li, Hong-Liang Li, Hai-Wen Chen, He-Cheng Li, Peng Zhang, Zi-Ming Wang, Tie Chong. Anuria and abdominal pain induced by ceftriaxone-associated ureterolithiasis in adults. International urology and nephrology. 2013 Feb;45(1):73-6

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PMID: 23180444

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