Encrusted Cystitis and Pyelitis

Méria, P.; Desgrippes, Arnaud; Arfi, C.; Duc, A. Le

doi:10.1016/s0022-5347(01)63009-x

Cited by 88 publications

(128 citation statements)

References 42 publications

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“…Corynebacterium urealyticum is a gram-positive commensal microorganism of the skin [5]. Urinary infections due to this bacterium require three conditions to cause alkaline-encrusted cystitis: a clinical context with immunosuppression or prolonged antibiotic therapy; urologic procedures either surgical or endoscopic, and an inflammatory or neoplastic pre-existing lesion of the urothelium [5,6].…”

Section: Discussionmentioning

confidence: 99%

“…Urinary infections due to this bacterium require three conditions to cause alkaline-encrusted cystitis: a clinical context with immunosuppression or prolonged antibiotic therapy; urologic procedures either surgical or endoscopic, and an inflammatory or neoplastic pre-existing lesion of the urothelium [5,6]. The delay between the urologic procedure and the diagnosis can vary up to several years [5]. It was demonstrated that its active osteogenic process is reversible, probably by changing the tissue's environmental conditions (reducing inflammation and eradicating infection), suggesting that Corynebacterium urealyticum infection can be considered the 'primum movens' of pathogenic mechanisms behind the bladder tissue calcification [4].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Urinary bladder perforation due to encrusted cystitis: A rare entity

Mallat¹,

Hmida²,

Ahmed³

et al. 2014

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Case Report: Herein, we report a new case of encrusted cystitis complicated by rupture of the bladder, septic peritonitis and uroperitoneum, and digestive fistula in a 57-year-old male and review literature. Conclusion: Encrusted cystitis is a severe entity that its evolution is unpredictable and it may be complicated by urinary bladder rupture that should be considered.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Urinary bladder perforation due to encrusted cystitis: A rare entity

Mallat¹,

Hmida²,

Ahmed³

et al. 2014

IJCRI

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“…This inflammation, possibly caused by Corynebacterium D2, is commonly associated with instrumentation of the lower urinary tract and can be classified as a nosocomial infection [7] . Corynebacterium D2 is difficult to grow in culture media and requires a prolonged incubation of more than 48 h on special media [1] . In our cases, repeated urine cultures were sterile and perhaps a link to Corynebacterium was not specifically sought [2] .…”

Section: Discussionmentioning

confidence: 99%

“…has sporadically been reported ever since, but has almost been forgotten by urologists and radiologists [1] . It was mainly reported in immunocompromised or debilitated patients after urologic procedures [2] .…”

Section: Imaging Characteristics Of Alkalineencrusted Cystitismentioning

confidence: 99%

Imaging Characteristics of Alkaline-Encrusted Cystitis

Zheng¹,

Wang²,

He³

et al. 2010

Urol Int

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Alkaline-encrusted cystitis (AEC) has been reported sporadically during the past 90 years. It occurs mainly in immunocompromised or debilitated patients after urologic procedures. However, we report two unexpected cases of AEC in patients who were young and not under conditions of transplantation, immunocompromise or debilitation. Both had undergone a ureteroscopic lithotripsy procedure before being diagnosed as having encrusted cystitis. Although no information on such atypical patients is available, at least to our knowledge, we undertook a further report and discussion on the imaging characteristics of this atypical AEC.

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“…Los pacientes inmunodeprimidos y en especial los pacientes transplantados 6 , constituyen el colectivo donde más se ha incrementado el diagnóstico de esta patología.…”

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Cistitis incrustante tras Mitomicina C

et al. 2005

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RESUMENCISTITIS INCRUSTANTE TRAS MITOMICINA C La cistitis incrustante o incrustada es un proceso frecuente que se caracteriza por la precipitación de sales en la mucosa vesical. La presencia de orinas alcalinas parece ser un factor fundamental para dicho depósito. Las infecciones urinarias por gérmenes urealíticos también parece ser un factor importante. Presentamos un caso de cistitis incrustante tras el uso de Mitomicina C como quimioterápico intravesical.Palabras Clave: Cistitis Incrustante. Mitomicina C. ABSTRACTINCRUSTED CYSTITIS AFTER MITOMICIN-C Incrusted cystitis is an infrecuent process characterized by precipitation an incrustation of salts on the vesical mucosa. An alkanine urine is required to this precipitation. The urinary infection with urolithic activity microorganisms can also be a very important factor. We present a case of incrusted cystitis after using Mitomicine as vesical chemoterapy. NOTA CLÍNICA L a cistitis incrustante o incrustada es una entidad clínico-patológica poco frecuente y que muchas ocasiones puede pasar desapercibida. Como su nombre indica consiste en el depósito a nivel de la mucosa vesical de sales de tipo cálcico (fosfato, carbonato) y amónico magnésica 1 .Esta precipitación e incrustación de las sales necesita de una serie de factores para que ocurra como son 1,2 -Orinas alcalinas con pH por encima de 7.-Existencia de daño vesical previo.-Infección urinaria por gérmenes de tipo urealítico. -Situación de inmunodepresión. Con respecto al primer punto comentar que las orinas alcalinas son el factor que determina la precipitación de las sales, que por su marcado carácter ácido precipitan en este tipo de medios.El daño vesical previo no es demostrable siempre según los casos publicados en la literatura, lo que si hay que tener muy en cuenta es la exclusión previa de un proceso maligno vesical como sustrato para el desarrollo de esta precipitación.Dentro de los gérmenes urealíticos el Corynebacyterium D2 3,4 se destaca como uno de los principales factores patógenos, tratándose de un germen oportunista en muchos casos nosocomial, difícil de detectar y bastante resistente a los antibióticos. No obstante hay casos descritos en los que se ha identificado a E. coli 5 como agente infectivo, germen por otra parte que no presenta clara actividad urealítica.Los pacientes inmunodeprimidos y en especial los pacientes transplantados 6 , constituyen el colectivo donde más se ha incrementado el diagnóstico de esta patología.

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Encrusted Cystitis and Pyelitis

Abstract: Early clinical and bacterial diagnosis of encrusted cystitis and pyelitis could improve the prognosis of these infectious diseases.

Cited by 88 publications

References 42 publications

Urinary bladder perforation due to encrusted cystitis: A rare entity

Urinary bladder perforation due to encrusted cystitis: A rare entity

Imaging Characteristics of Alkaline-Encrusted Cystitis

Cistitis incrustante tras Mitomicina C

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