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Case Reports
. 2020 Aug 23;12(8):e9962.
doi: 10.7759/cureus.9962.

Recurrent Urinary Tract Infection in a Patient With Asymptomatic Crohn's Disease

Waqar Akram  1 , Sanket K Shah  1 , Mohina Sohail  1 , Usama Rehman  2 , Mustafa Rahim  3
Affiliations
Case Reports

Recurrent Urinary Tract Infection in a Patient With Asymptomatic Crohn's Disease

Waqar Akram et al. Cureus. .

Abstract

Recurrent urinary tract infection (UTI) is uncommon in males, but it is a common complication of Crohn's disease (CD). Patients with CD often present with abdominal pain, diarrhea, and systemic symptoms, such as weight loss, low-grade fever, and fatigue, and rarely it can cause serious complications, such as fistulas or abscesses. Some patients with CD remain asymptomatic, which can progress to severe complications and delayed treatment. We are presenting a 22-year-old male with recurrent UTIs and no established past medical history of CD. However, on subsequent investigations, an anatomical abnormality was discovered that helped us make the diagnosis of CD. The aim of this report is to emphasize the early detection of asymptomatic CD in atypical patients, to not only decrease the risk of complications such as UTIs but also allow for early treatment intervention and better outcomes.

Keywords: crohn's disease; urinary tract infection.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. CT scan showing distal ileum with pseudodiverticulum thickened wall indicated by the blue arrow
Figure 2
Figure 2. CT scan showing abnormal wall thickening of sigmoid colon indicated by the red arrow
Figure 3
Figure 3. CT scan showing fistula between terminal ileum and sigmoid colon indicated by the yellow arrow
Figure 4
Figure 4. CT scan showing fistula connecting bowels indicated by the green arrow
Figure 5
Figure 5. CT scan showing presence of fistula between the bladder and terminal Ileum indicated by the red arrow
Figure 6
Figure 6. CT scan showing thickened sigmoid colon indicated by the white arrow
Figure 7
Figure 7. CT scan showing darkening of kidneys shows pyelonephritis indicated by the pink and purple arrows
See this image and copyright information in PMC

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