嗜酸性膀胱炎：膀胱内注射类固醇和口服抗组胺药治疗
Eosinophilic cystitis: treatment with intravesical steroids and oral antihistamines.
作者信息
Zaman Shahriar Raj, Vermeulen Tersia L, Parry Jeremy
机构信息
Royal Perth Hospital, Perth, Western Australia, Australia.
出版信息
BMJ Case Rep. 2013 Sep 6;2013:bcr2013009327. doi: 10.1136/bcr-2013-009327.
Abstract
This is a case of eosinophilic cystitis in a 56-year-old indigenous Australian woman who presented with urosepsis on the background of a urinary tract infection unresponsive to oral antibiotics. After resolution of the urosepsis, she had persisting urinary retention and a cystoscopy/bladder biopsy suggested eosinophilic cystitis. After 1 month of intravesical hydrocortisone and oral loratadine, repeat cystoscopy showed vast improvement in the bladder lesions. This case further strengthens the use of intravesical steroids and oral antihistamines for the management of eosinophilic cystitis.
摘要
这是一例56岁澳大利亚原住民女性的嗜酸性膀胱炎病例，该患者因对口服抗生素无反应的尿路感染而出现尿脓毒症。尿脓毒症消退后，她持续存在尿潴留，膀胱镜检查/膀胱活检提示嗜酸性膀胱炎。在膀胱内注射氢化可的松和口服氯雷他定1个月后，重复膀胱镜检查显示膀胱病变有显著改善。该病例进一步支持了膀胱内使用类固醇和口服抗组胺药治疗嗜酸性膀胱炎的方法。
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