title: [Two cases of encrusted cystitis].
abstract: Encrusted cystitis is a type of severe cystitis, which progresses chronically and is characterized by excessively alkaline urine and calcifications within the bladder wall. We report two cases of encrusted cystitis. Both cases were high aged and had severe anemia with chronic cystitis. They complained of gross hematuria, voiding frequency and pain upon urination. Urine pH was 8-9, and urine cytology was negative. Urine culture contained Corynebacterium Group D2. Abdominal computed tomography and transurethral resection revealed wall bladder wall calcification and inflammatory change. We diagnosed it as encrusted cystitis. The patients underwent excision of plaques of calcified encrustation, adapted antibiotic therapy and acidification of urine. It is essential to diagnose encrusted cystitis early and to provide adequate treatment promptly.
authors.affiliation: Department of Urology, Kurashiki Central Hospital.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Ohara
authors.forename: Koji
authors.initials: K
authors.lastname: Yoshimura
authors.forename: Naoki
authors.initials: N
authors.lastname: Terada
authors.forename: Kentaro
authors.initials: K
authors.lastname: Ichioka
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Matsui
authors.forename: Akito
authors.initials: A
authors.lastname: Terai
authors.forename: Youichi
authors.initials: Y
authors.lastname: Arai
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000471:Alkalosis / Q000628:therapy / Q000652:urine; D000892:Anti-Infective Agents, Urinary / Q000008:administration & dosage; D002119:Calcium Carbonate / Q000008:administration & dosage; D002254:Carbonates / Q000008:administration & dosage; D002908:Chronic Disease; D002951:Citrates / Q000008:administration & dosage; D003352:Corynebacterium; D003354:Corynebacterium Infections / Q000150:complications; D015653:Cystectomy; D003556:Cystitis / Q000209:etiology* / Q000628:therapy; D004338:Drug Combinations; D005260:Female; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008277:Magnesium Oxide / Q000008:administration & dosage; D015242:Ofloxacin / Q000008:administration & dosage; D012720:Severity of Illness Index; D001744:Urinary Bladder Calculi / Q000209:etiology* / Q000628:therapy
chemical_list: D000892:Anti-Infective Agents, Urinary; D002254:Carbonates; D002951:Citrates; D004338:Drug Combinations; C050615:Suby's G solution; D008277:Magnesium Oxide; D015242:Ofloxacin; D002119:Calcium Carbonate