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  • Title: [Hyperammonemia in hydronephrosis].
    Author: van Daele PL, Quero Guillen JC, Lesterhuis W, Van Der Meulen J.
    Journal: Ned Tijdschr Geneeskd; 1998 Oct 31; 142(44):2414-5. PubMed ID: 9864539.
    Abstract:
    A man aged 81 with bilateral hydronephrosis presented with lethargy deepening into coma caused by hyperammonaemia. The hyperammonaemia was most likely caused by excessive absorption of ammonia produced by Proteus mirabilis in the obstructed and dilated urinary tract. The patient died within a few hours.
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