Isolated Fungal Balls in Urinary Bladder Presenting as Acute Retention of Urine

A 52-year-old male presented to surgery emergency with acute retention of urine. Patient was relieved in the emergency setting by catheterization and bladder irrigation. Urine was sterile; however, microscopy revealed field full of RBCs (>50/high-power field) and pus cells (>20/hpf). Cystoscopy revealed fungal balls in the urinary bladder which upon histopathological examination showed Aspergillus species. Patient was managed with systemic voriconazole and bladder wash with diluted povidone iodine. Predisposing factors diabetes mellitus and benign prostatic hyperplasia were medically managed, and patient recovered well. This case stresses the importance of considering isolated fungal urinary infections in predisposed individuals.

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Pseudomonas laryngeal perichondritis: unexpected diagnosis

BMJ Case Reports ◽

10.1136/bcr-2020-237129 ◽

2020 ◽

Vol 13 (12) ◽

pp. e237129

Author(s):

Siti Salwa Zainal Abidin ◽

Thean Yean Kew ◽

Mawaddah Azman ◽

Marina Mat Baki

Keyword(s):

Diabetes Mellitus ◽

Pseudomonas Aeruginosa ◽

Vocal Fold ◽

Histopathological Examination ◽

Thyroid Cartilage ◽

Tracheal Aspirate ◽

Good Recovery ◽

Antituberculous Drug ◽

False Vocal ◽

Oral Ciprofloxacin

A 57-year-old male chronic smoker with underlying diabetes mellitus presented with dysphonia associated with cough, dysphagia and reduced effort tolerance of 3 months’ duration. Videoendoscope finding revealed bilateral polypoidal and erythematous true and false vocal fold with small glottic airway. The patient was initially treated as having tuberculous laryngitis and started on antituberculous drug. However, no improvement was observed. CT of the neck showed erosion of thyroid cartilage, which points to laryngeal carcinoma as a differential diagnosis. However, the erosion was more diffuse and appeared systemic in origin. The diagnosis of laryngeal perichondritis was made when the histopathological examination revealed features of inflammation, and the tracheal aspirate isolated Pseudomonas aeruginosa. The patient made a good recovery following treatment with oral ciprofloxacin.

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Evaluation of Juniperus communis L. seed extract on benign prostatic hyperplasia induced in male Wistar rats

African Journal of Urology ◽

10.1186/s12301-021-00137-x ◽

2021 ◽

Vol 27 (1) ◽

Author(s):

Fatemeh Akbari ◽

Mohammad Azadbakht ◽

Kanu Megha ◽

Ayat Dashti ◽

Lale Vahedi ◽

...

Keyword(s):

Benign Prostatic Hyperplasia ◽

Wistar Rats ◽

Histopathological Examination ◽

Seed Extract ◽

Prostatic Hyperplasia ◽

Vehicle Group ◽

Common Disease ◽

Therapeutic Effects ◽

Juniperus Communis ◽

Male Wistar Rats

Abstract Background Benign prostatic hyperplasia (BPH) is a common disease which causes various health problems for elderly men such as urinary retention, recurring urinary tract infection and bladder stones. The aim of this study is to evaluate the therapeutic effects of Juniperus communis L. seed extract (JCS) on BPH in male Wistar rats. Methods To this end, 30 rats were divided into 5 groups (N = 6): group 1 (vehicle), group 2 (disease control), group 3 (standard medicine; 10 mg/kg finasteride), and groups 4 and 5 were treated with 300 mg/kg and 600 mg/kg of the hydroalcoholic JCS seed extract, respectively. Groups 2, 3, 4 and 5 received testosterone enanthate to induce prostatic hyperplasia. At the end of experimental period (28 days), prostate glands were cut off under anesthesia. Histopathological examination was done and biochemical parameters such as Malondialdehyde, Glutathione and protein carbonyl were also measured. Their body weights were also observed during the study. At the end of the experiment, prostate weights and prostate specific antigen (PSA) levels were measured. Prostate index, inhibition prostate weight and inhibition prostate index were also calculated. Results Both histopathological examination and biochemical parameter results showed significant improvements in rats treated with finasteride and 600 mg/kg JCS extract (p < 0.01). In addition, PSA levels showed significant decrease in comparison with the disease group. But acute toxicity test indicated that using JCS extract resulted in an increase in liver enzymes (ALP, LDH, SGOT, SGPT). As a result, the extract should be used with caution. Conclusions Oral administration of JCS extract is effective on preventing testosterone-induced benign prostatic hyperplasia.

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A Pitfall of FDG-PET Image Interpretation: Accumulation of FDG in the Dependent Area of the Urinary Bladder After Bladder Irrigation???The Usefulness of the Prone Position

Clinical Nuclear Medicine ◽

10.1097/01.rlu.0000174291.53670.a3 ◽

2005 ◽

Vol 30 (9) ◽

pp. 638-639 ◽

Cited By ~ 11

Author(s):

Wan-Yu Lin ◽

Guang-Uei Hung ◽

Shih-Chuan Tsai

Keyword(s):

Urinary Bladder ◽

Prone Position ◽

Fdg Pet ◽

Image Interpretation ◽

Bladder Irrigation

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Effect of diabetes mellitus on lower urinary tract symptoms and dysfunction in patients with benign prostatic hyperplasia

Current Urology Reports ◽

10.1007/s11934-001-0067-z ◽

2001 ◽

Vol 2 (4) ◽

pp. 297-301 ◽

Cited By ~ 26

Author(s):

Tom A. Boon ◽

Ger E. P. M. van Venrooij ◽

Mardy D. Eckhardt

Keyword(s):

Diabetes Mellitus ◽

Urinary Tract ◽

Benign Prostatic Hyperplasia ◽

Lower Urinary Tract Symptoms ◽

Lower Urinary Tract ◽

Prostatic Hyperplasia ◽

Urinary Tract Symptoms ◽

Lower Urinary

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Ischemia in Pelvic Organs as an Independent Pathogenic Factor in the Development of Benign Prostatic Hyperplasia and Urinary Bladder Dysfunction

Bulletin of Experimental Biology and Medicine ◽

10.1007/s10517-015-2845-5 ◽

2015 ◽

Vol 158 (6) ◽

pp. 718-722 ◽

Cited By ~ 4

Author(s):

V. I. Kirpatovskii ◽

I. S. Mudraya ◽

K. G. Mkrtchyan ◽

S. V. Revenko ◽

G. D. Efremov ◽

...

Keyword(s):

Benign Prostatic Hyperplasia ◽

Urinary Bladder ◽

Bladder Dysfunction ◽

Prostatic Hyperplasia ◽

Pathogenic Factor ◽

Pelvic Organs ◽

Urinary Bladder Dysfunction

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Treatment of Rhinocerebral Mucormycosis by Combination of Endoscopic Sinus Debridement and Amphotericin B

American Journal of Rhinology ◽

10.1177/194589240101500508 ◽

2001 ◽

Vol 15 (5) ◽

pp. 327-331 ◽

Cited By ~ 26

Author(s):

Isam Alobid ◽

Manuel Bernal ◽

Carlos Calvo ◽

Isabel Vilaseca ◽

Juan Berenguer ◽

...

Keyword(s):

Diabetes Mellitus ◽

Computed Tomography ◽

Histopathological Examination ◽

Ct Scanning ◽

Definitive Diagnosis ◽

Immunocompromised Patients ◽

Imaging Procedures ◽

Rhinocerebral Mucormycosis ◽

Uncontrolled Diabetes ◽

Mucosal Necrosis

Rhinocerebral mucormycosis (RCM) is an aggressive fungal infection with a high mortality rate. It frequently develops in patients with uncontrolled diabetes mellitus or immunocompromised patients. RCM typically presents in a rapidly fulminant manner with headache, fever, mucosal necrosis, and ophthalmic symptoms. Although the definitive diagnosis is achieved by histopathological examination, computed tomography (CT) scanning and magnetic resonance (MR) are the best imaging procedures in early diagnosis to assess the extent of the disease.

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