title: Residual urinary volume and urinary tract infection, a life threatening illness: a case report.
abstract: Multiple Sclerosis (MS) is an inflammatory disease that demyelinates the central nervous system causing progressive disability. The urodynamics of MS patients is an important consideration because these patients are susceptible to acute urinary bladder retention associated with a high fever. Treatment should include irrigation using a Foley catheter and an irrigation syringe to remove residual urine and sediment from the neurogenic bladder, intravenous fluid resuscitation, bacteriological analysis of the residual urine, and admission to an Intensive Care Unit for further evaluation by a urologist. After discharge, suprapubic cystostomy should be a consideration for patients who have chronic urinary tract infections associated with acute urinary bladder retention, as well as limited mobility to perform self catheterization, or limited personal care assistants trained to perform a urethral clean intermittent catheterization.
authors.affiliation: Distinguished Professor Emeritus of Plastic Surgery, Biomedical Engineering and Emergency Medicine, University of Virginia Health System, Charlottesville, VA, USA.
authors.forename: Richard F
authors.initials: RF
authors.lastname: Edlich
authors.forename: Shelley S
authors.initials: SS
authors.lastname: Mason
authors.forename: Jill J
authors.initials: JJ
authors.lastname: Dahlstrom
authors.forename: Erin M
authors.initials: EM
authors.lastname: Swainston
authors.forename: William B
authors.initials: WB
authors.lastname: Long
authors.forename: K Dean
authors.initials: KD
authors.lastname: Gubler
authors.forename: Jerry D
authors.initials: JD
authors.lastname: Giesy
mesh_terms: D000368:Aged; D003559:Cystostomy; D006801:Humans; D008297:Male; D009103:Multiple Sclerosis / Q000150:complications*; D016055:Urinary Retention / Q000150:complications*; D014552:Urinary Tract Infections / Q000209:etiology*