scholarly journals Hyperoxaluria, Hypocitraturia, Hypomagnesiuria, and Lack of Intestinal Colonization by Oxalobacter formigenes in a Cervical Spinal Cord Injury Patient with Suprapubic Cystostomy, Short Bowel, and Nephrolithiasis

TSW Urology ◽  
2006 ◽  
Vol 1 ◽  
pp. 108-115
Author(s):  
Subramanian Vaidyanathan ◽  
Gerd E. von Unruh ◽  
Ian D. Watson ◽  
Norbert Laube ◽  
Steve Willets ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spinal Cord ◽  
Spinal Cord Injury Patient ◽  
Intestinal Colonization ◽  
Oxalobacter Formigenes ◽  
Suprapubic Cystostomy ◽  
Short Bowel ◽  
Cord Injury ◽  
Injury Patient

scholarly journals Fatal Septicaemia Following Suprapubic Cystostomy in a Paraplegic Patient: Never Do a Cystostomy without Prior Urine Culture and Appropriate Antibiogram!

2010 ◽  
Vol 2010 ◽  
pp. 1-4
Author(s):  
Subramanian Vaidyanathan ◽  
Bakul M. Soni ◽  
Tun Oo ◽  
Peter L. Hughes ◽  
Gurpreet Singh
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Urine Culture ◽  
Spinal Cord Injury Patient ◽  
Full Blood Count ◽  
Resistant Bacteria ◽  
Contributory Factor ◽  
Suprapubic Cystostomy ◽  
Cord Injury ◽  
Injury Patient

Neuropathic urinary bladder is often colonised by multidrug-resistant bacteria. We report a 64-year-old male spinal cord injury patient with paraplegia, who received gentamicin on empirical basis before undergoing suprapubic cystostomy, as antibiotic sensitivity report of urine was not available. This patient developed fulminate septicaemia. Although appropriate antibiotic therapy (meropenem) was started when this patient manifested features of sepsis, acute renal failure occurred and he expired. Inappropriate initial antimicrobial therapy was the major contributory factor for this patient's mortality. Learning points from this case are (1) never do a cystostomy without prior urine culture and appropriate antibiogram; (2) in a chronic spinal cord injury patient, full blood count, liver function tests, albumin level, and albumin to globulin ratio should be performed before any surgical procedure.

scholarly journals Hourglass urinary bladder in a spinal cord injury patient - unusual late complication of suprapubic cystostomy: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 6866 ◽  
Author(s):  
Subramanian Vaidyanathan ◽  
Peter L Hughes ◽  
Bakul M Soni ◽  
Gurpreet Singh ◽  
Paul Mansour
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Case Report ◽  
Urinary Bladder ◽  
Late Complication ◽  
Spinal Cord Injury Patient ◽  
Suprapubic Cystostomy ◽  
Cord Injury ◽  
Injury Patient

scholarly journals Challenges in Diagnosis and Treatment of a Cervical Spinal Cord Injury Patient with Melanoma, Adenocarcinoma, and Hepatic and Osteolytic Metastases: Need to Implement Strategies for Prevention and Early Detection of Cancer in Spinal Cord Injury Patients

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Subramanian Vaidyanathan ◽  
Paul Mansour ◽  
Peter L. Hughes ◽  
Fahed Selmi ◽  
Gurpreet Singh ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Urinary Bladder ◽  
Cervical Spinal Cord ◽  
Specific Antigen ◽  
Outlet Obstruction ◽  
Spinal Cord Injury Patient ◽  
Ct Urography ◽  
Cord Injury ◽  
Injury Patient

A male tetraplegic patient with, who had been taking warfarin, developed haematuria. Ultrasound scan revealed no masses, stones, or hydronephrosis. Urinary bladder had normal configuration with no evidence of masses or organised haematoma. Urine cytology revealed no malignant cells. Four months later, CT urography revealed an irregular mass at the base of urinary bladder. Cystoscopic biopsy revealed moderately differentiated adenocarcinoma, which contained goblet cells and pools of mucin showing strongly positive immunostaining for prostatic acid hosphatase and patchy staining for prostate specific antigen. Computed Tomography revealed multiple hypodense hepatic lesions and several osteolytic areas in femoral heads and iliac bone. With a presumptive diagnosis of prostatic carcinoma, leuprorelin acetate 3.75 mg was prescribed. This patient expired a month later.Conclusion. (i) Spinal cord injury patient, who passed blood in urine while taking warfarin, requiresrepeatedinvestigations to look for urinary tract neoplasm. (ii) Anti-androgen therapy should be prescribed for 2 weeks prior to administration of gonadorelin analogue to prevent tumour flare causing bone pain, bladder outlet obstruction, uraemia, and cardiovascular risk due to hypercoagulability associated with a rapid increase in tumour burden. (iii) Spinal cord physicians should adopt a caring and compassionate approach while managing tetraplegic patients with several co-morbidities, as aggressive diagnostic tests and therapeutic procedures may lead to deterioration in the quality of life.

scholarly journals Management of recurrent priapism in a cervical spinal cord injury patient with oral baclofen therapy

Spinal Cord ◽  
2004 ◽  
Vol 42 (2) ◽  
pp. 134-135 ◽  
Author(s):  
S Vaidyanathan ◽  
J W H Watt ◽  
G Singh ◽  
P L Hughes ◽  
F Selmi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spinal Cord ◽  
Spinal Cord Injury Patient ◽  
Cervical Spinal Cord Injury ◽  
Cord Injury ◽  
Injury Patient ◽  
Recurrent Priapism

Poster 488 Hyponatremia in a Cervical Spinal Cord Injury Patient with Refractory Orthostatic Hypotension: A Case Report

PM&R ◽  
2012 ◽  
Vol 4 ◽  
pp. S357-S357
Author(s):  
Jackson Cohen ◽  
Junney M. Baeza Dager ◽  
Jamil Bashir ◽  
Kevin L. Dalal ◽  
Alberto Panero ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Case Report ◽  
Orthostatic Hypotension ◽  
Cervical Spinal Cord ◽  
Spinal Cord Injury Patient ◽  
Cervical Spinal Cord Injury ◽  
Cord Injury ◽  
Injury Patient
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