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不仅仅是排尿困难:棒状杆菌性结痂性膀胱炎。

More Than Dysuria: Corynebacterial Encrusted Cystitis.

机构信息

Children's Mercy Hospital, Kansas City, MO.

Children's Mercy Hospital, Kansas City, MO.

出版信息

Urology. 2021 Mar;149:e18-e21. doi: 10.1016/j.urology.2020.11.029. Epub 2020 Nov 28.

Abstract

Corynebacterium species, typically considered contaminants in urine culture, can cause encrusted cystitis (EC), a form of chronic urinary tract infection causing pain, bladder necrosis, renal failure, and death. Delayed diagnosis is common due to its rarity and the fastidious nature of Corynebacterium urealyticum. Reported mostly in elderly and immunocompromised patients, EC is rare in pediatric patients. A female adolescent on high dose steroids developed persistent dysuria after urinary catheterization. Abnormal bladder ultrasound and characteristic cystoscopy led to the diagnosis of EC. Appropriate treatment instituted 4 months from onset of dysuria led to an excellent response.

摘要

棒状杆菌属,通常被认为是尿液培养中的污染物,可引起结痂性膀胱炎(EC),这是一种慢性尿路感染,可引起疼痛、膀胱坏死、肾衰竭和死亡。由于其罕见性和尿解支原体的挑剔性质,常导致延迟诊断。EC 主要见于老年和免疫功能低下的患者,在儿科患者中很少见。一名接受大剂量类固醇治疗的青春期女性在导尿后出现持续性尿痛。异常的膀胱超声和特征性膀胱镜检查导致 EC 的诊断。在出现尿痛后 4 个月开始进行适当的治疗,取得了极好的疗效。

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