ResearchPad - inflammation-and-infection https://www.researchpad.co Default RSS Feed en-us © 2020 Newgen KnowledgeWorks <![CDATA[Case report: Prostatic abscess caused by community acquired methicillin resistant <i>Staphylococcus aureus</i>]]> https://www.researchpad.co/article/N50fe5b75-9e14-4bef-9712-d23c92231179 Prostatic abscess is declining disease because of widespread using of antibiotic in management of early prostatitis and urinary tract infections. Causing pathogenic factors usually gram-negative organisms. In lack of a guidelines, diagnosis and management sometimes is a challenge.

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<![CDATA[Acinetobacter junii as a rare pathogen of urinary tract infection]]> https://www.researchpad.co/article/N61ac7581-72e5-4611-ac09-931b9d63cb80

Acinetobacter junii is one of more than 50 different species belonging to the genus Acinetobacter. This bacterium is rarely reported to cause human infections. Here we described a rare case of Acinetobacter junii, which grew in urine culture approximately one month after the patient was discharged from the hospital with antibiotics for a urinary tract infection, which caused left obstructing renal calculi requiring nephrostomy tube placement.

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<![CDATA[Penile Mondor's disease- an understated entity]]> https://www.researchpad.co/article/N4be13972-0629-451c-a210-75c6a1364832

We present a case of Penile Mondor's Disease (PMD) in a 36-year old male patient. PMD is an under-recognised and uncommon condition which presents with pain on erection and cord-like thickening of the dorsum of the penis. The diagnosis of PMD is usually confirmed with ultrasound imaging. The course of PMD is self-limiting, with multiple adjunct treatments proposed to hasten the recovery process however the evidence to support these treatments is limited.

It is important both Primary Care Providers and Urologists are aware of this condition in order to provide appropriate information to patients regarding treatment options and prognosis.

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<![CDATA[Acute right epididymo-orchitis complicated by pampiniform plexus thrombosis]]> https://www.researchpad.co/article/Ndc0e9835-aa65-4fd0-a0e9-cc6274f9400d

Acute scrotum considered to be a common and one of the urological top emergency cases. However, acute testicular pain due to testicular vein thrombosis is rare especially if this thrombosis considered to be a complication of an infection, and not due to varicocele or malignancy-related conditions. A rare case of right epididymo-orchitis case complicated by right pampiniform plexus thrombosis, which resolved spontaneously with no anticoagulant management., Testicular vein thrombosis considered to be a rare differential diagnoses of acute scrotum presentation. With a limited number of reported cases, it requires more evaluation to develop a proper medical approach.

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<![CDATA[Retroperitoneal abscess due to Achromobacter xylosoxidans presenting as femoral pain]]> https://www.researchpad.co/article/Ne7289eb9-74e6-4008-b985-18ed5e2260d5

We describe the case of a 65-year-old patient who presented to our hospital with femoral pain. MRI and CT scan revealed a retroperitoneal abscess. We treated him with early surgical drainage and antibiotic treatment. The urine and draining pus cultures grew Achromobacter xylosoxidans. An iliopsoas abscess may show unique signs depending on its volume. To the best of our knowledge, this is the second reported case of retroperitoneal abscesses due to A. xylosoxidans. Surgical drainage appears to be effective when abscess is large.

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<![CDATA[Incidental discovery of an interstitial emphysematous cystitis with liver abscess: A report of hematogenous spread of infection]]> https://www.researchpad.co/article/N81b4a425-2c0e-4bd7-af1e-16a9df9bdce8

Emphysematous cystitis is an unusual urological emergency in clinical practice. The disease characteristics are still underreported. It is characterized by the presence of gas in the urinary bladder wall secondary to gas forming organism. We report an incidental finding of emphysematous cystitis in a 35-year-old secondary to a huge liver abscess in a poorly controlled blood sugar. The infection spread hematogenously to the urinary bladder wall that was managed conservatively by urethral catheter drainage and hepatic abscess drainage in adjunct with antimicrobial therapy. The patient had no urinary symptoms. The bladder wall gas disappeared during follow-up in 2 weeks.

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<![CDATA[Vesical schistosomiasis and squamous cell carcinoma associated with schistosoma haematobium: A re-emerging neglected tropical disease in Tehran, Iran]]> https://www.researchpad.co/article/N3a9e674b-e395-4a6b-93a9-90e5755110bf

Hematobium species of this parasite tends to bladder and mesenteric arteries and it causes lesions in the bladder wall, urethra, and renal tubes. A 25-year-old man living in Tehran (a non-endemic and very rare area for schistosoma) suffers from symptoms such as hematuria with suprapubic pain, dysuria, fever, nausea and vomiting. Urine analysis showed a lot of red blood cells, after using cystoscopy of the area and receiving a bladder biopsy, a definitive diagnosis of schistosomiasis was made and after determining the extent of damage to the urinary tract, appropriate treatment with surgery and praziquantel (40 mg/kg) were prescribed.

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<![CDATA[Perineal schwannoma: A case report with novel genitourinary association and histopathology]]> https://www.researchpad.co/article/N71b92041-b53a-448f-9791-73ad37a3d1ab

We describe a 39-year-old male patient who presented with a large perineal mass found to represent an entity rarely seen involving the genitourinary tract, a perineal schwannoma. We also provide a discussion regarding the common presentation, diagnostic approaches and treatment options for patients who present with this rare entity.

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<![CDATA[A rare case of iatrogenic vesicovaginal fistula arising from a forgotten gauze strip during Caesarean section]]> https://www.researchpad.co/article/N33241a49-a2cb-4519-8c74-e8ab7371bc0c

The incidence of iatrogenic vesicovaginal fistulas in women after gynecological surgery is 82%, as hysterectomy being the most common cause for them - 88%. We presented a rare case of iatrogenic vesicovaginal fistula resulting from a series of errors and forgotten gauze strip in a 26-years-old woman after a third Caesarean section.

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<![CDATA[A rare clinical case of penile gangrene in a patient with chronic renal failure and diabetes mellitus]]> https://www.researchpad.co/article/5c8809c6d5eed0c484611f1a

We report here a case of penile gangrene due to penile calciphylaxis in a patient with diabetes mellitus and chronic renal failure. Initially the patient demonstrated dry gangrene of the glans penis, which turned to wet after partial amputation. The main cause of the gangrene was considered to be circulatory insufficiency induced by severe arteriosclerosis. Despite high mortality rate associated with ischaemic penile gangrene aggressive management is recommended for those who are not terminal.

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<![CDATA[Reno-colic fistula in a tuberculous kidney: About a case report]]> https://www.researchpad.co/article/5b5ba567463d7e20fee28f0f ]]> <![CDATA[Retroperitoneal necrotizing fasciitis with gas gangrene caused by urethral stricture]]> https://www.researchpad.co/article/5b5b9201463d7e1effa46116 ]]> <![CDATA[Penile Ulceration Secondary to Nicorandil Use]]> https://www.researchpad.co/article/5b2a1a9e463d7e2e23868b5e

Nicorandil is a medication used for treatment and prevention of angina pectoris. Its mode of action involves both arterial and venous vasodilation. Although there are numerous known side effects, one of the more unusual, adverse reactions is ulceration of the external genitalia. This case reports the finding of penile preputial ulceration secondary to the use of Nicorandil. The authors make some recommendations for management.

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<![CDATA[ALK Gene Translocation in Inflammatory Myofibroblastic Tumor of the Urinary Bladder: A Case Report]]> https://www.researchpad.co/article/5af77d9d463d7e772d928967

A 26-year-old woman with gross hematuria was seen in a previous hospital. Magnetic resonance imaging (MRI) showed a tumor at the dome of the urinary bladder with invasion outside of the bladder wall. The patient underwent transurethral resection of the bladder tumor (TUR-BT). From the result of the pathological examination, the tumor was suggested to be carcinosarcoma of the bladder. The patient was then referred to our hospital for treatment. We performed radical cystectomy and ileal conduit diversion. Pathological examination of the excised specimen revealed an inflammatory myofibroblastic tumor as the basis for immunostaining of anaplastic lymphoma kinase (ALK).

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