Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: EC:6.3.4.6 (urease)
 7,490 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The analysed material includes 100 children with urolithiasis treated in the Pediatric Clinic of the National Research Institute of Mother and Child in Warsaw between 1976 and 1978. Patients' age was from 3 months to 18 years. The analysed group included 51 boys and 49 girls. Urinary tract infection was found in 54 cases, i.e. 57,4% of the analysed material. The most common bacterial strains were those producing urease. They were detected in 48 children i.e. 88,9% of cases with urinary tract infection. Mostly these were bacteria of Proteus group--sporadically Pseudomonas aeruginosa and Staphylococcus albus. In the analysed patients urinary tract obstruction was observed in 36 children, i.e. 36% of cases. In 77% of the analysed material, localization of concrements was in upper urinary tract in 19% in the ureters and in 4% in the lover urinary tract. While in adult patients the most common compound of urinary stones was calcium oxalate, in children the most common stone compounds were phosphates (found in 38 cases i.e. 58,4% of the analysed material). The second frequent compound was oxalate found in 20 cases (30,7%). Less frequent compounds were uric acid and cystine. Performed study allowed to establish the cause of urolithiasis in 93 out of 100 examined children. Metabolic reasons of urolithiasis were found in 26 cases, i.e. 26% of the analysed material. They were as follows: idiopathic hypercalciuria--12 cases, uric acid urolithiasis--8 cases, primary hyperoxaluria--3 cases, cystinuria--2 cases, and incomplete acidosis of distal renal tubuli--1 case. Urolithiasis of probably metabolic origin was detected in 13 children (13%). Other reasons of urolithiasis in children were: infection (31%), idiopathic urolithiasis (17%) and others (6%). In 7 cases the reason of urolithiasis was not established.
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PMID:[Metabolic etiology of urinary calculi in children]. 717 91

Fifty-five Tunisian children with urinary stones, between the ages of 8 months and 15 years, underwent morphological and infrared spectrophotometric analysis of their stones. This study provides an approach to the aetiological profile of urinary stones in Tunisian children. The nucleus of the stones was composed of acidic ammonium urate in 48% of cases with a morphology suggestive of phosphorus deficiency associated with a history of diarrhoea. In 24% of cases, the nucleus contained struvite indicating the presence of urinary tract infection by urease-positive bacteria. The main growth factors of urinary stones were hyperoxaluria and urinary tract infection. In 5 cases, the stones were due to a hereditary lithogenic metabolic disease : cystinuria in 1 case and primary hyperoxaluria in 4 cases.
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PMID:[Etiologic factors of urinary lithiasis in Tunisian children]. 877 1

Renal lithiasis is a frequent disease which recurs in more than 60% of cases. Effective prevention of recurrence can be obtained once the cause has been identified. The laboratory investigation, based on clinical history, analysis of the stone and blood and urine assays, achieves this objective. As the stone is the main indicator of lithogenic disorders, the investigation must start by morphoconstitutional analysis of the stone by reliable physical methods. The results of this analysis guide the clinician towards the biochemical factors responsible for the lithogenic process and, in some cases, directly to certain infectious diseases, such as infections due to urease-positive bacteria, or metabolic diseases, such as primary hyperoxaluria, tubular acidosis or enzymatic deficits of purine metabolism, without forgetting drug causes, responsible for the formation of approximately one per cent of stones. Subsequent investigations guided by analysis of the stone are therefore much more selective and rational. When the stone is not available, the investigation, graduated according to the metabolic activity of the lithiasis, can be guided by its radiological appearance. Dynamic investigations are rarely necessary and must be reserved a second-line procedures for the most severe forms of calcium-dependent stones. In the absence of radiological data and when the stone has not been collected, a basic routine blood and urine investigation must be performed looking for laboratory factors potentially involved in the stone-forming process.
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PMID:[Metabolic assessment of urinary lithiasis in routine practice. Common task of nephrologists and urologists of the Lithiasis Committee of the French Association of Urology]. 923 85