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. 2013 Jun;32(2):84-6.
doi: 10.1016/j.krcp.2013.04.005. Epub 2013 May 16.

Hemorrhagic cystitis with massive bleeding from nontyphoidal Salmonella infection: A case report

Sun-Kyung Na  1 , Hye-Kyung Jung  1 , Young Shin Kim  1 , Hye-Won Yun  1 , Jung-Wha Chung  1 , Ka-Young Jung  1 , Ki-Nam Shim  1 , Sung-Ae Jung  1
Affiliations

Hemorrhagic cystitis with massive bleeding from nontyphoidal Salmonella infection: A case report

Sun-Kyung Na et al. Kidney Res Clin Pract. 2013 Jun.

Abstract

Hemorrhagic cystitis is defined by lower urinary tract symptoms that include dysuria, hematuria, and hemorrhage and is caused by viral or bacterial infection or chemotherapeutic agents. Reports of hemorrhagic cystitis caused by non-typhoidal salmonella (NTS) are extremely rare. We report a case of a 41-year-old man with hemorrhagic cystitis from NTS that caused massive bleeding and shock. The patient was hospitalized for uncontrolled diabetes and obstructive uropathy related to severe cystitis. A urine culture was positive for group D NTS. This case demonstrated that hemorrhagic cystitis in a patient with a risk factor such as diabetes can be a manifestation of local extra-intestinal NTS infection.

Keywords: Cystitis; Hemorrhagic cystitis; Salmonella; Salmonella infection.

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Figures

Figure. 1
Figure. 1
Abdomen-pelvis ultrasonography on admission. (A) Urinary bladder shows hyperechogenic materials suggestive of pus, moving with body position change and a diffusely thickened bladder wall. (B) Bilateral hydronephrosis and hydroureter were observed.
Figure. 2
Figure. 2
Abdomen-pelvis CT scan after 10 days in the hospital. Inhomogeneous mass suspicious of hematoma is observed in the distended urinary bladder.
Figure. 3
Figure. 3
Cystoscopy after 10 days in the hospital. Bladder mucosa is hyperemic with multiple punctuated hemorrhage. The result of mucosal biopsy is acute inflammation with hemorrhage.
See this image and copyright information in PMC

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