title: Pyocystis in patients on chronic dialysis. A potentially misdiagnosed syndrome.
abstract: 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.
authors.affiliation: Medicine Service, Urology Section, and Radiology Service, New Mexico Veterans Affairs Health Care System, Albuquerque, New Mexico 87108, USA.
authors.forename: John L
authors.initials: JL
authors.lastname: Bibb
authors.forename: Karen S
authors.initials: KS
authors.lastname: Servilla
authors.forename: Lawrence J
authors.initials: LJ
authors.lastname: Gibel
authors.forename: Jane E
authors.initials: JE
authors.lastname: Kinne
authors.forename: Robert E
authors.initials: RE
authors.lastname: White
authors.forename: Michael F
authors.initials: MF
authors.lastname: Hartshsorne
authors.forename: Antonios H
authors.initials: AH
authors.lastname: Tzamaloukas
mesh_terms: 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
chemical_list: D000890:Anti-Infective Agents; D015242:Ofloxacin