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Woman, 20, admitted to hospital with UTI - ended up having hands and feet amputated
A woman who was admitted to hospital with a urine infection ended up having her hands and feet amputated.
Brazilian Gabrielle Barbosa, 20, was diagnosed with a urinary tract infection (UTI) which was treated with antibiotics in December but ended up being far more serious than anticipated.
In March this year Barbosa, from Rio, began to experience problems with her kidneys which led to hospitalization and a dramatic quadruple amputation.
Barboso told Brazilian news outlet Globo that she felt a pain in her kidney while at work and was "rushed to hospital".
She was placed on a drip and treated for renal colic. Before long the infection had spread - but she was sent home due to an alleged lack of beds.
By the time she was admitted her condition had drastically worsened and she lost both her hands and feet as a result of the spiraling infection.
UTIs occur when bacteria enters the urinary tract. They are normally cured with a course of antibiotics, with symptoms usually easing shortly after medication is taken.
However, in more severe cases, the infection can spread. This occurs if the bacteria enters the kidneys, from where it can also enter the bloodstream.
In extreme cases this can lead to sepsis - a sometimes deadly infection.
"I went into hospital on March 31, but I was already very bad," Barbosa continued. "I was intubated and had two cardiac arrests.
"I was in an induced coma for six days and when I woke up I found that my hands and feet were bandaged. The doctors took a while to tell me they were going to amputate but I already knew."
Barbosa is now going through physical therapy and is adjusting to her new life, which she shares with more than 200,000 followers on Instagram.
注释：
urinary: adj
表示" 尿的；泌尿（器官）的"，means "of or relating to the function or production or secretion of urine"，如：He has a problem with urinary retention. 他有尿滞留的毛病。
tract: n
表示"[解]道；"，means "system of connected tube-like parts along which sth passes"，如：Osteoporosis is a late complication of digestive tract disease. 骨质疏松症是消化道疾病的晚期并发症之一。
quadruple: n; adj
表示" 四倍(的)；"，means "a set of four similar things considered as a unit"，如：The power utilities will need to quadruple their capacity. 电力事业必须使它们的能力增加三倍。
amputation: n
表示" 截肢"，means "a surgical removal of all or part of a limb"，如：After the amputation of his left leg he becomes a cripple. 在他的左脚截肢之后，他变成一个肢体残障人士。
renal: adj
表示" 肾脏的"，means "of or relating to the kidneys"，如：People with renal diseases have to eat salt-free foods. 患有肾脏疾病的人只能吃不含盐的食物.
colic: n
表示" 疝痛；疝气；急腹痛"，means "acute abdominal pain (especially in infants)"，如：Although the term colic suggests an intestinal origin, etiology is unknown. 虽然疝痛一词提示由肠道引起，但其病因并不清楚。
allege: v
表示" 断言；宣称"，means " state sth as a fact but without proof; give as an excuse"，如：So they alleged, but have they any proof? 他们是这样宣称的，但他们有证据吗？
drastically: adv
表示" 大幅度地；彻底地"，means "in a drastic manner"，如：Ford decided to cut back drastically. 福特公司决定大幅度裁员
spiral: v
表示" 盘旋上升(或下降)"，means "move in a spiral course"，如：This caused a downward spiral into depression. 这使经济下滑恶化为经济萧条。
sepsis: n
表示" 败血症"，means "the presence of pus-forming bacteria or their toxins in the blood or tissues"，如：Persistent bacteremia often leads to severe sepsis or overwhelming septic shock. 持续性的菌血症经常导致严重的败血症，甚至恶化为败血性休克。
intubate: v
表示" 插管法治疗"，means "introduce a cannula or tube into"，如：Still not breathing.We've gotta intubate. 没有呼吸, 我们得插管.
Cardiac: adj
表示" 心脏的"，means "of or relating to the heart;"，如：Death is caused by cardiac failure. 心脏衰竭引起死亡。
arrest: v
表示"骤停"，means "the state of inactivity following an interruption"，
cardiac arrest:表示"心脏骤停"
coma：n
表示" 昏迷"，如：Daddy lingered in a coma for several days. 爸爸昏迷了数日。
中文简要说明：
不少人都有过泌尿道感染的经验，女性尤其常见，如果不谨慎看待，可能造成难以收拾的后果。巴西一名20岁女子日前因为泌尿道感染（UTI）就医，未料情况比想象中严重，细菌迅速扩散至肾脏，导致她一度陷入昏迷，6天后醒来才得知双手双脚已被截肢。
根据「新闻周刊」（Newsweek）、《每日星报》（Daily Star）报导，住在巴西里约热内卢的女子巴伯沙（Gabrielle Barbosa）去年12月首度因泌尿道发炎就医，并接受了抗生素治疗，但细菌并未完全消灭，导致4个月后，她在工作时突然肾脏一阵剧痛，求诊后医护人员误把她的情况当作肾绞痛处理。
「他们（医护人员）帮我打点滴，但我吐个不停，」巴伯沙回忆。「后来我进行了检查，发现感染已经扩散。」由于当时医院缺乏床位，即使巴伯沙情况危急，仍在初步治疗后安排她返家休养；当她终于等到床位时，病情已经相当严重。
「我被插了管，并且两度心脏骤停。他们以药物诱导我昏迷了6天，当我醒来后，发现自己的手脚都被绷带包扎起来。医生花了一段时间对我说，他们必须替我截肢，但我其实已经料到了，」巴伯沙事后表示。
不幸失去四肢后，巴伯沙目前仍持续接受物理治疗，同时努力学习适应新生活。外表开朗的她也不忘透过社群平台，呼吁女性随时注意自己的私密处健康，一旦出现感染，必须迅速就医，以免延误病情。
泌尿道感染是因为细菌进入泌尿道所导致，可能由性行为、长时间憋尿、脱水所引起，通常经抗生素治疗一段时间后，症状就能缓解痊愈；但若感染严重，细菌可能扩散进入肾脏或血液，发生和巴伯沙一样的情况，若未及时就医可能引发败血症而致命，不可不慎。
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