The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of Recurrent Pyelonephritis in a Patient with a Bilateral Bifid Ureter Treated with Korean-Western Cooperative Treatment

한양방 병행치료를 시행한 양측성 중복 요관 환자의 재발성 신우신염 치험 1례

  • Noh, Ji-won (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jeong, Soo-min (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Min-seong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jeon, Min-su (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ahn, Young-min (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ahn, Se-young (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Byung-cheol (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 노지원 (경희대학교 대학원 임상한의학과) ;
  • 정수민 (경희대학교 대학원 임상한의학과) ;
  • 이민승 (경희대학교 대학원 임상한의학과) ;
  • 전민수 (경희대학교 대학원 임상한의학과) ;
  • 안영민 (경희대학교 대학원 임상한의학과) ;
  • 안세영 (경희대학교 대학원 임상한의학과) ;
  • 이병철 (경희대학교 대학원 임상한의학과)
  • Received : 2020.10.05
  • Accepted : 2020.11.17
  • Published : 2020.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Introduction: In this case report, we addressed the effects of a Korean medicine treatment on recurrent pyelonephritis in a female patient with a duplicated collecting system. Case report: A 22-year-old female with acute pyelonephritis was treated with Korean medicine, including herbal medication, Insampaedok-san plus Oryeong-san, and with antibiotic therapy. We evaluated the improvements in her symptoms by measuring C-reactive protein, WBC count, body temperature, and a numeric rating scale for nausea. The symptoms of fever and nausea improved after two days of hospitalization. From the 4th day of taking the herbal medicine, the antibiotic IV infusion was changed to oral agents. Conclusions: This clinical case study suggests that modified Insampaedok-san might have shortened the duration of intravenous antibiotic infusion and hospitalization for recurrent pyelonephritis in a female patient with a bifid ureter.

Keywords

References

  1. Cooper CS, Snyder III HM: Ureteral duplication, ectopy, and ureteroceles. In: Gearhart JP, Rink RC, Mouriquand PDE(eds), Pediatric Urology. Philadelphia: WB Saunders Co; 2001, p. 430-49.
  2. Fernbach SK, Feinstein KA, Spencer K and Lindstrom CA. Ureteral duplication and its complications-Scientific Exhibit. RdaioGraphics 1997;17(1):109-27. https://doi.org/10.1148/radiographics.17.1.9017803
  3. Abouassaly R, Gill IS and Kaouk JH. Laparoscopic upper pole partial nephrectomy for duplicated renal collection systems in adult patients. Urology 2007;69(6):1202-5. https://doi.org/10.1016/j.urology.2007.03.011
  4. EAU Guidelines. Edn. presented at the EAU Annual Congress Amsterdam the Netherlands 2020. ISBN 978-94-92671-07-3.
  5. 위성헌. 요로감염의 진단과 치료. 대한내과학회 춘계학술대회 2014:22-6.
  6. Kwon JN, Kim YK, Ryu JY. 5 Cases of Acute Pyelonephritis. Journal of Sasang constitutional medicine 2001;13(2):194-204.
  7. Kim HT, Yoo ES, Chung SK. Management of Upper Moiety in Complete Duplex System. Investigative and Clinical Urology 2005;46(1):7-13.
  8. Cho MJ, Shin CY, Hwang MY, Yoon CH. Clinical Case of Ureteral Duplication Patient with Abdominal Pain, Back Painand Red-colored Urine of Undetermined Origin. J Int Korean Med 2009;fal:58-63.
  9. 朱肱, 안영민, 活人書. 서울: 도서출판 한미의학; 2010, p. 75, 84-5, 251.
  10. Lim HS, Ha HK, Seo CS, Jin SE, Kim YJ, Jeon WY, et al. Comparative study on efficacies and ingredient contents of different solvent extracts of Insampaedok-san. Kor J Herbology 2012;27(6):115-22. https://doi.org/10.6116/kjh.2012.27.6.115
  11. 심재연, 김병운. A Study of Effects of Insampaedok-san and Kamiinsampaedok-San on the Analgesia, Antipyresis and Thioacetamide induced liver damage in rats and mice. Journal of KyungHee Oriental Medicine College 1984;7:323-34.
  12. 김철중. 보중익기탕 및 인삼패독산이 Gentamicin sulfate로 유발된 백서 급성신부전에 미치는 효과. 경희대학교 박사학위 논문 1991.
  13. 尤怡 저, 안영민 역. 상한관주집. 서울: 도서출판 살구숲. 2019, p. 54-5, 83.
  14. Kim JH, Shin HK. Analysis of biological experiment on Oryeong-san (Wuling-san). Korean J Orient Int Med 2012;33(1):69-82.
  15. Yoon JJ, Lee YJ, Kang DG, Lee HS. Protective Role of Oryeongsan Against Renal Inflammation and Glomerulosclerosis in db/db Mice. The American Journal of Chinese Medicine 2014;42(6):1431-52. https://doi.org/10.1142/S0192415X14500906
  16. Kim MK, Woo SH, Lee WJ, Jeong SK, Choi SM, Choi SP, et al. Predictive Value of C-reactive Protein and Kidney Computed Tomography in Patients with Acute Pyelonephritis. Journal of the Korean Society of Emergency Medicine 2009;20(5):555-61.
  17. Bang SH, Chang IH, Han JH, Ahn SH. C-reactive Protein is a Useful Marker to Predict the Severity and Early Response of Acute Pyelonephritis in Women. Investigative and Clinical Urology 2007;48(11):1143-8.
  18. Chung H, Kim TW, Lee CH, Kim HS. Clinical significance of serum C-reactive protein in patients with acute uncomplicated pyelonephritis. Korean J Urol 2005;46(5):476-80.
  19. Yang WJ, Cho IR, Seong DH, Song YS, Lee DH, Song KH, et al. Clinical implication of serum C-reactive protein in patients with uncomplicated acute pyelonephritis as marker of prolonged hospitalization and recurrence. Urology 2009;73(1):19-22. https://doi.org/10.1016/j.urology.2008.07.061