title: Eosinophilic cystitis: treatment with intravesical steroids and oral antihistamines.
abstract: This is a case of eosinophilic cystitis in a 56-year-old indigenous Australian woman who presented with urosepsis on the background of a urinary tract infection unresponsive to oral antibiotics. After resolution of the urosepsis, she had persisting urinary retention and a cystoscopy/bladder biopsy suggested eosinophilic cystitis. After 1 month of intravesical hydrocortisone and oral loratadine, repeat cystoscopy showed vast improvement in the bladder lesions. This case further strengthens the use of intravesical steroids and oral antihistamines for the management of eosinophilic cystitis.
authors.affiliation: Royal Perth Hospital, Perth, Western Australia, Australia.
authors.forename: Shahriar Raj
authors.initials: SR
authors.lastname: Zaman
authors.forename: Tersia L
authors.initials: TL
authors.lastname: Vermeulen
authors.forename: Jeremy
authors.initials: J
authors.lastname: Parry
mesh_terms: D000283:Administration, Intravesical; D000284:Administration, Oral; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D003556:Cystitis / Q000150:complications / Q000188:drug therapy*; D004802:Eosinophilia / Q000150:complications / Q000188:drug therapy*; D005260:Female; D039563:Histamine H1 Antagonists, Non-Sedating / Q000627:therapeutic use*; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use*; D017336:Loratadine / Q000627:therapeutic use*; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D039563:Histamine H1 Antagonists, Non-Sedating; D017336:Loratadine; D006854:Hydrocortisone