scholarly journals Painful Bladder Syndrome: An Unusual Presentation in a Case of Upper Tract Fungus Balls

2015 ◽  
Vol 9 (2) ◽  
pp. 104-105
Author(s):  
Petar Bajic ◽  
Jessica Wetterlin ◽  
Larissa Bresler
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Painful Bladder Syndrome ◽  
First Case ◽  
Painful Bladder ◽  
History Of ◽  
Tract Infections ◽  
Work Up ◽  
Fungus Balls ◽  
Collecting System

Urinary tract fungus balls are a rare pathologic entity which may be asymptomatic or have variable presentations. To date, there have been no documented cases of fungus balls presenting as painful bladder syndrome. Painful bladder syndrome is a constellation of symptoms which may include pelvic pain, urgency and frequency not explained by other causes. Here, we present the first case of these two entities concurrently. Our patient had a longstanding history of diabetes, nephrolithiasis and recurrent urinary tract infections. He presented with symptoms of painful bladder syndrome and work-up revealed filling defects within the renal collecting system concerning for malignancy. Subsequent ureteroscopy revealed dense white debris consistent with candida fungus balls. Following clearance of the debris and antifungal therapy, our patient has remained asymptomatic.

scholarly journals Risk factors of multidrug-resistant bacteria in community-acquired urinary tract infections

2021 ◽  
Vol 21 (1) ◽  
pp. 214-9
Author(s):  
Ertugrul Guclu ◽  
Fikret Halis ◽  
Elif Kose ◽  
Aziz Ogutlu ◽  
Oğuz Karabay
Keyword(s):  
Risk Factors ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Multidrug Resistant ◽  
Antibiotic Usage ◽  
Advanced Age ◽  
History Of ◽  
Tract Infections

Background: Urinary tract infections (UTIs) are one of the most seen infection among community. Objectives: In this cross-sectional study we aimed to investigate the risk factors of multidrug-resistant (MDR) bacteria that caused community-acquired UTI (CA-UTI). Methods: Consecutive patients admitted to the Urology and Infectious Diseases policlinics with the diagnosis of CA-UTI were included in the study. A standard form including possible predisposing factors for MDR bacteria was applied. Results: In total, 240 patients (51.3% females) were enrolled in the study. The mean age of participants were 59.8 ± 18.3 years old. Escherichia coli (n =166; 69.2%)was the most frequently isolated bacteria and its incidence was higher in females than in males (p=0.01). In total, 129 (53.8%) of the identified pathogens were MDR bacteria. According to multivariate analysis, the use of antibiotics three or more times increased the risk of infection with MDR bacteria by 4.6 times, the history of urinary tract infection in the last 6 months by 2 times, being male and over 65 years old by 3 times. Conclusion: Doctors should consider prescribing broad-spectrum antibiotics in patients with severe UTIs with a history of UTI, advanced age, male gender, and multiple antibiotic usage, even if they have a CA-UTI. Keywords: Urinary tract infection; community acquired; multidrug-resistant; male; multiple antibiotic usage; advanced age.

Clinical and urodynamic parameters associated with history of urinary tract infections in women: a prospective study

2007 ◽  
Vol 86 (9) ◽  
pp. 1130-1135 ◽  
Author(s):  
Stavros Athanasiou ◽  
Aris Antsaklis ◽  
Gregoria I. Betsi ◽  
Myrtia Sotiropoulou ◽  
Matthew E. Falagas
Keyword(s):  
Urinary Tract ◽  
Prospective Study ◽  
Urinary Tract Infections ◽  
History Of ◽  
Tract Infections ◽  
A Prospective Study ◽  
Urodynamic Parameters

scholarly journals A 57-year-old Man With a History of Prostatectomy and Pelvic Irradiation Presents With Recurrent Urinary Tract Infections, Hematuria, and Pelvic Pain

Urology ◽  
2013 ◽  
Vol 81 (2) ◽  
pp. 221-225 ◽  
Author(s):  
David C. Moore ◽  
Kirk A. Keegan ◽  
Matthew J. Resnick ◽  
Rosana Eisenberg ◽  
Ginger E. Holt ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Pelvic Pain ◽  
Pelvic Irradiation ◽  
Recurrent Urinary Tract Infections ◽  
History Of ◽  
Tract Infections

scholarly journals Labial Adhesions Causing Recurrent Urinary-Tract Infections in an Elderly Woman

2019 ◽  
Vol 2019 ◽  
pp. 1-2
Author(s):  
Masashi Takemaru ◽  
Noriko Aramaki-Hattori ◽  
Chisato Tsue ◽  
Kazuo Kishi
Keyword(s):  
Postmenopausal Woman ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Elderly Woman ◽  
Prior History ◽  
Recurrent Urinary Tract Infections ◽  
History Of ◽  
Tract Infections ◽  
Labial Adhesion

A 91-year-old postmenopausal woman with a prior history of two labial-adhesion separations suffered from recurrent urinary-tract infections. We were able to successfully treat her labial adhesions using surgery.

scholarly journals Urogenital tuberculosis, the cause of ineffective antibacterial therapy for urinary tract infections

2017 ◽  
Vol 10 (3) ◽  
pp. 95-101 ◽  
Author(s):  
Ekaterina Kulchavenya ◽  
Andrey Cherednichenko
Keyword(s):  
Drug Resistance ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Antibacterial Therapy ◽  
Recurrent Utis ◽  
E Coli ◽  
Total Prevalence ◽  
Urogenital Tuberculosis ◽  
History Of ◽  
Tract Infections

Background: Urogenital tuberculosis (UGTB) is one of the great imitators; it is commonly masked by urinary tract infections (UTIs). We aimed to estimate how many UGTB patients were among patients with a long history of UTIs. Material and Methods: A total of 244 patients with recurrent UTIs and suspected UGTB were enrolled in an open, noncomparative prospective study. Their urine and expressed prostate secretion or ejaculate were cultured (a total of 1446 samples), and 421 isolates with growth of ⩾104 colony-forming units (CFU)/ml were investigated for drug resistance. Typically, UGTB diagnosis is made by individual case. Results: All 244 patients had a long history of recurrent UTIs (on average, 7.9 ± 3.4 years); all received at least five courses of antibacterial therapy without good result. UGTB was diagnosed in 63 (25.8%), and in 41 of these (65.1%), there was comorbidity of UTI and UGTB. Of 1446 samples investigated, 421 (29.1%) were positive, and 1025 were negative. Escherichia coli was found in 57.3% of gram-negative microflora and in 29.0% only among all uropathogens. E. coli was resistant to amoxicillin/clavulanate in 51.5–57.1%, to cefotaxime in 50.0–52.0%, to gentamycin in 33.3–59.5%, to ciprofloxacin in 63.2–66.7%, to levofloxacin in 54.8–45.2%, and to nitrofurantoin in 23.5–20.8% in 2015 and 2016, respectively. If, in 2015, all isolates of E. coli were susceptible to imipenem, in 2016, 7.1% of strains were resistant to this antibiotic. Level of drug-resistance was higher in 2016, excluding only levofloxacin and nitrofurantoin. Conclusions: Total prevalence of UGTB among UTI patients with poor results of antibacterial therapy was 25.8%. Comorbidity of UTI and UGTB was diagnosed in 65.1%.

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