Surgical treatment of infants and children with ceftriaxone-induced urolithiasis
Du Yuan
Li Jun
Xiao Jing
Wang Wenying
Tian Ye
Abstract：Objective:To investigate the treatment of ceftriaxone-induced urolithiasis in infants and children. Methods:A retrospective analysis was performed on 5 children diagnosed with ceftriaxone-induced urolithiasis from August 2015 to April 2016 in our hospital.The clinical features,imaging characteristics and surgical treat-ments of ceftriaxone-induced urolithiasis were discussed.Results:There were 4 cases or renal colic or bellyache,4 case of anuria and 1 case of acute renal failure.All cases were diagnosed as having urolithiaiss and/or hydroneph-hrosis by ultrasonography,and CT.All cases were cured by operation or conservative treatment.Urinary calculi composition was analyzed by Fourier transform infrared spectroscopy (FTIR;LIIR type,Lambda,China).The renal function in all cases was normal and there were no recurrent calculi after short-term follow-up.Conclusions:Ceftriaxone is wided used in infants and children.However,ceftriaxone-induced crystals are composed of calcium and ceftriaxone.Therefore,in children given ceftriaxone,it is necessary to increase fluid intake,and carry out ul-trasonography monitoring.Once acute obstruction occurs due to ceftriaxone-induced calculis,indwelling ureteral stent is placed quickly to relieve the obstruction and promote the removal of the calculi.
Keywords：infantchildrenceftriaxone-induced urolithiasis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 352-355 )