간세포암 환자에서 발생한 가피성 방광염과 신우요관염
Encrusted Cystitis and Pyeloureteritis in Patient with Hepatocellular Carcinoma
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Encrusted cystitis and pyeloureteritis are rare chronic infectious conditions characterized by mucosal inflammation and encrustations of the urinary tract. It is caused by fastidious growing urea splitting microorganisms, mainly Corynebacterium. Herein, we report an unusual case of an 80-year-old man with encrusted cystitis and pyeloureteritis who was previously treated with transcatheteral arterial chemoembolization for hepatocellular carcinoma. Abdomino-pelvic computerized tomography showed a bilateral hydronephrosis with calcifications of renal pelvis, ureter, and bladder. Cystoscopy showed calcified bladder mucosa with necrosis and bleeding. After transurethral removal of calcified plaques, the patient was treated with antibiotic and oral urine acidification. One-month follow-up cystoscopy showed that inflammation was improved and calcification was significantly reduced.
Abstract
Encrusted cystitis and pyeloureteritis are rare chronic infectious conditions characterized by mucosal inflammation and encrustations of the urinary tract. It is caused by fastidious growing urea splitting microorganisms, mainly Corynebacterium. Herein, we report an unusual case of an 80-year-old man with encrusted cystitis and pyeloureteritis who was previously treated with transcatheteral arterial chemoembolization for hepatocellular carcinoma. Abdomino-pelvic computerized tomography showed a bilateral hydronephrosis with calcifications of renal pelvis, ureter, and bladder. Cystoscopy showed calcified bladder mucosa with necrosis and bleeding. After transurethral removal of calcified plaques, the patient was treated with antibiotic and oral urine acidification. One-month follow-up cystoscopy showed that inflammation was improved and calcification was significantly reduced.
참고문헌 (10)
- Hara K, "Infections in patients with liver cirrhosis and hepatocellular carcinoma", Intern Med, 34, pp.491~495 (1995)
- Tanaka T, "Encrusted cystitis causing postrenal failure", J Infect Chemother, 19, pp.1193~1195 (2013)
- Lieten S, "Alkaline-encrusted pyelitis and cystitis: an easily missed and life-threatening urinary infection", BMJ Case Rep, 2011 (2011)
- Pomakova D, "Prevention of infection in cancer patients", Cancer Treat Res, 161, pp.485~511 (2014)
- Bodey GP, "Quantitative relationships between circulating leukocytes and infection in patients with acute leukemia", Ann Intern Med, 64, pp.328~340 (1966)
- Soriano F, "Microbiological and clinical features of Corynebacterium urealyticum: urinary tract stones and genomics as the Rosetta Stone", Clin Microbiol Infect, 14, pp.632~643 (2008)
- Meria P, "Encrusted cystitis and pyelitis", J Urol, 160, pp.3~9 (1998)
- Penta M, "Encrusted cystitis in an immunocompromised patient: possible coinfection by Corynebacterium urealyticum and E. coli", Int J Immunopathol Pharmacol, 19, pp.241~244 (2006)
- Eschwege P, "Imaging analysis of encrusted cystitis and pyelitis in renal transplantation", Transplant Proc, 27, pp.2444~2445 (1995)
- Carlsson S, "Effects of pH, nitrite, and ascorbic acid on nonenzymatic nitric oxide generation and bacterial growth in urine", Nitric Oxide, 5, pp.580~586 (2001)