Pyocystis in patients on chronic dialysis. A potentially misdiagnosed syndrome.
Pyocystis is an important complication of non-functioning urinary bladder, which often poses diagnostic difficulties. We present a case of pyocystis in a patient on chronic hemodialysis who was anuric for one year. The patient was initially diagnosed with diverticulitis. An abdominal C-T scan suggested the diagnosis of pyocystis, which was confirmed by bladder catheterization. The patient was treated with bladder drainage and a prolonged antibiotic course, followed by intermittent saline washing of the bladder.
Bibb
John L
JL
Medicine Service, Urology Section, and Radiology Service, New Mexico Veterans Affairs Health Care System, Albuquerque, New Mexico 87108, USA.
Servilla
Karen S
KS
Gibel
Lawrence J
LJ
Kinne
Jane E
JE
White
Robert E
RE
Hartshsorne
Michael F
MF
Tzamaloukas
Antonios H
AH
D000368:Aged; D000890:Anti-Infective Agents / Q000627:therapeutic use; D003951:Diagnostic Errors; D004238:Diverticulitis / Q000175:diagnosis; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D015242:Ofloxacin / Q000627:therapeutic use; D006435:Renal Dialysis; D014057:Tomography, X-Ray Computed; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000188:drug therapy
D000890:Anti-Infective Agents; D015242:Ofloxacin