title: Pyocystis and prostate abscess in a hemodialysis patient in the emergency department.
abstract: The urinary tract is an often forgotten and under-appreciated source of infection in anuric hemodialysis patients. Bladder abscess, also called pyocystis, is a severe complication of low urinary flow that can be difficult to detect, leading to delays in treatment and increased morbidity. The emergency physician should maintain a high suspicion for pyocystis, which can be quickly diagnosed by bedside ultrasound. We report a case of a hemodialysis patient with an initially minor presentation who developed sepsis secondary to pyocystis and prostate abscess.
authors.affiliation: Department of Emergency Medicine, University of Maryland Medical Center, Baltimore, Maryland.
authors.forename: Phillip
authors.initials: P
authors.lastname: Stafford
authors.affiliation: University of Maryland School of Medicine, Baltimore, Maryland.
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Prybys
mesh_terms: D000038:Abscess / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D003556:Cystitis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D004636:Emergency Service, Hospital; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011469:Prostatic Diseases / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D006435:Renal Dialysis / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed