A RARE CAUSE OF URINARY TRACT INFECTION IN PAEDIATRIC POPULATION

2021 ◽  
pp. 82-83
Author(s):  
Prasad Venkata Satyanarayana Gadde ◽  
Manchala Sowmya Catherine
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Bladder Wall ◽  
Muscularis Propria ◽  
Paediatric Population ◽  
Bladder Diverticulum ◽  
Fetal Alcohol ◽  
Bladder Urothelium ◽  
Bladder Diverticula

Primary congenital bladder diverticulum is a rare cause of Urinary Tract Infection (UTI). The term bladder diverticulum is usually reserved for the nding of large herniation of bladder urothelium through muscularis propria of the bladder wall. Typically, congenital bladder diverticula are found in smooth walled bladders and are not associated with signicant trabeculation on cystoscopic examination.Congenital bladder diverticula have been noted in association with a number of congenital syndromes including Menkes syndrome, Williams syndrome, Ehler-Danlos syndrome and fetal alcohol syndrome.We present a case of Primary congenital bladder diverticulum as a rare cause of UTI in a 4year old male child who was surgically treated.

scholarly journals Bladder Diverticulitis: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Michael Silberman ◽  
Rebecca Jeanmonod
Keyword(s):  
Emergency Department ◽  
Urinary Tract Infection ◽  
Abdominal Pain ◽  
Case Report ◽  
Urinary Tract ◽  
Tract Infection ◽  
Acute Urinary Retention ◽  
Disease Process ◽  
Multifactorial Disease ◽  
Bladder Diverticulum

Bladder diverticulum, an outpouching of the mucosa through the muscular wall of the bladder, is a multifactorial disease process that can be either acquired or congenital. Although small diverticuli are usually asymptomatic, a large diverticulum may result in hematuria, urinary tract infection, acute abdomen due to its rupture, acute urinary retention, or neoplasm formation. We describe the case of an elderly gentleman who presented to the emergency department with abdominal pain and was ultimately diagnosed with bladder diverticulitis, a disease not previously described in the literature.

scholarly journals Vaginal mass caused by a lately recognized congenital bladder diverticulum

2013 ◽  
Vol 7 (9-10) ◽  
pp. 634 ◽  
Author(s):  
Kürşad Zengin ◽  
Serhat Tanik ◽  
Mesut Gurdal ◽  
Aylin Okur ◽  
Betul Zengin
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Common Symptom ◽  
Ureteral Orifice ◽  
Vaginal Mass ◽  
Bladder Diverticula ◽  
History Of ◽  
The Right ◽  
Time Of Admission

Congenital bladder diverticula are strongly associated with vesicoureteral reflux (VUR), and are mostly present in childhood. The most common symptom is urinary tract infection at the time of admission. The diverticulum is usually solitary and its locationis near the ureteral orifice, which is probably the main cause of VUR. We report a woman who presented with a vaginal mass located on the right inferior part of the external urethral meatus. The patient had a history of recurrent urinary tract infection and right nephrectomy due to VUR nephropathy. We examined her with cystography, computerized tomography, and cystoscopy. The cystoscopic examination was very diagnostic in our patient. The patient underwent diverticulectomy, and after 6 months of follow-up, her complaints had completely disappeared.

scholarly journals Bladder Lipoma Associated with Urinary Tract Infection

2008 ◽  
Vol 8 ◽  
pp. 573-574 ◽  
Author(s):  
Christopher Brown ◽  
Adam Jones
Keyword(s):  
Urinary Tract Infection ◽  
Adipose Tissue ◽  
Urinary Tract ◽  
Tract Infection ◽  
Bladder Wall ◽  
Macroscopic Haematuria ◽  
Unusual Finding

Lipomas are benign overgrowths of adipose tissue. They are an unusual finding within the bladder wall. There have been five reports[1,2] of bladder lipomas associated with micro- and macroscopic haematuria. We report, to our knowledge, the first bladder lipoma associated with a microbiologically confirmed urinary tract infection.

scholarly journals Emphysematous cystitis: a cause of hematuria post angioplasty

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Sidney Parker ◽  
Sarah Bouayyad ◽  
Jonathan Tam ◽  
Nisheeth Kansal ◽  
Vish Bhattacharya
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Urinary Bladder ◽  
Tract Infection ◽  
Bladder Wall ◽  
Healthcare Staff ◽  
Emphysematous Cystitis ◽  
Empirical Antibiotics ◽  
Angioplasty And Stenting

Abstract Emphysematous cystitis (EC) is a rare, severe, urinary tract infection caused by gas-producing bacteria. It is characterized by the accumulation of air inside the bladder wall and/or lumen and is common among elderly diabetic females. This case of a 90-year-old female, who underwent bilateral iliac angioplasty and stenting, is the first published correlation between iliac angioplasty and the development of EC. The endovascular procedure performed was a success, but later on, she was confused and developed frank haematuria with a fall in haemoglobin levels. CT revealed severe EC with abundant gas tracking outside of urinary bladder into the extraperitoneal space. She was catheterized and empirical antibiotics were started and converted based on the culture sensitivities. Frequent follow-up ensured the resolution of a conservatively managed case. It is essential to increase the awareness of EC associated with angioplasties among the healthcare staff, particularly those undertaking vascular procedures.

scholarly journals A Female Patient With Clinical Symptoms as Recurrent Urinary Tract Infection Caused By Urinary Tract Tuberculosis

2020 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Rastita Widyasari ◽  
Artaria Tjempakasari ◽  
Chandra Irwanadi Mohani
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Early Diagnosis ◽  
Bladder Wall ◽  
Developed Countries ◽  
Lateral Side ◽  
Rapid Progression ◽  
Urine Production ◽  
Tract Infections

Background : Urinary tract tuberculosis (TB)  is one type of extrapulmonary TB. The prevalence in developed countries is around 15-20% of all cases of extrapulmonary TB.1 The insidious onset and non-specific constitutional symptoms of urinary tuberculosis often lead  to delayed diagnosis and  rapid progression to a non-functioning kidney.2-3 The only way to limit renal function loss and destruction  is by early diagnosis and therapy.4Case: 34-year-old woman, came with complaints of urinary pain accompanied by right flank pain 10 months prior. Patient also had  complaint of weight loss but ignoring complaints of night sweats. Patient repeatedly diagnosed as a urinary tract infection and received many kinds of antibiotic therapy but her complaints were not getting better. Urine production was about 1700 cc/24 hours. From general physical examination, there was a lack of nutritional status with BMI 17.1 kg/m2. Vesicular lung sound without rhonchi heard in both lung fields. From the urinalysis examination there were pyuria and haematuria without bacteriuri. Laboratory examination showed value of BUN was 17 mg/dl and creatinine 0.9 mg/dl. From aerob urine culture we found sterile urine. But we found positive result of Mycobacterium tuberculosis (MTB) urine cultures which was sensitive to isoniazid, rifampicin, pyrazinamide, and ethambutol. Abdominal ultrasound showed severe ecstasis of right pelviocalyceal system without stones,mass, nor cyst. We had additional data from intravenous pyelogram (IVP) which showed a non-visualized dextra pelviocalyceal system and delayed bladder emptying function at 120th minutes. From computed tomography stonographic, we found severe right hydronephrosis, proximal to distal right hydroureter, and thickening of bladder wall (± 1.61 cm) on the right antero-lateral side. To find out the cause of thickening of bladder wall, we did bladder biopsy which showed the mononuclear inflammatory cell stroma. Patients were diagnosed with urinary tract TB and received category 1 of oral anti tuberculosis therapy (Rifampicin, Isoniazid, Pyrazinamid, and Ethambutol) for 12 months and underwent right DJ stent implantation  to manage the ectasys.Conclusion : Urinary tract TB often showed unspecified complaints and can be suggested as recurrent urinary tract infections. Early diagnosis and optimal management were needed to prevent anatomical and functional complications.

scholarly journals The Efficacy and Safety Of Using Hydrochlorothiazide As Adjuvant Therapy In Pediatric Urinary Tract Infections

2018 ◽  
Vol 13 (2) ◽  
pp. 6-10
Author(s):  
Watheq I. Jameel
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Adjuvant Therapy ◽  
Bladder Wall ◽  
Pediatric Age ◽  
Efficacy And Safety ◽  
Group 2 ◽  
Tract Infections ◽  
Acute Urinary Tract Infection

Background: Acute urinary tract infection is a common bacterial infection causing illness in infants and children. At age of seven, 8% of girls and 2% of boys will have at least one episode. Although drinking water and using home remedies are known to help to flush away bacteria and keeps them from sticking to the bladder wall, researches to test the efficacy and safety of hydrochlorothiazide's diuretic effect as adjuvant to the antibiotics in pediatric age groups are lacking, and so this research was to address this subject. Objectives: To assess the effectiveness   and  the safety of hydrochlorothiazide as adjuvant therapy to the antibiotics in treating acute urinary tract infection in pediatric age group. Type of the study: Case-control prospective study. Methods: The study was done including eight hundred sixty five patients ((In_ & Out_ patients)): The patients included were aged from few hours (neonates) to 16 years old, Those who attended three pediatric hospitals- department of nephrology of:The Central Child Teaching Hospital,Al- Elwyia Pediatric Hospital andIbn Al-Baladi Hospital Results: 215 patients in group 1 ((97.3%)) presented with cystitis and 6 patients ((2.7%)) with pyelonephritis, And In group 2, 243 ((96.4%)) with cystitis and 9 patients ((3.6%)) with pyelonephritis.The urine cultures were negative in ((76.4, 80.1, 85.9,95.0  percentages of patients)) after ((10 days, 1 month, 3 months and 6 months respectively)) in group1 vs. ((60.3, 68.60,75.8,85.3 )) after the same periods in group 2 ((p-value=0.04 at 10 days, 0.03 at 1month, 0.04 at 3 month and 0.02 at 6month)). Conclusions: This research had concluded that 5 days of treatment with antibiotics and hydrochlorothiazide were effective and safe to treat children with urinary tract infection. Hydrochlorothiazide (as a diuretic and hypocalciuric agent) adjuvant to the antibiotics in pediatrics was safe and effective to: Decrease duration of treatment and hospitalization days, Improve clinical responses to antibiotics and Decrease risk of complications of UTI.  

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