ArticleEuropean journal of case reports in internal medicine2025
Persistent Urinary Tract Infection Despite Targeted Antibiotics: The Role Of Surgical Intervention in Encrusted Cystitis Caused by
Article in European journal of case reports in internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Case report: We present the case of a 75-year-old male who was admitted to the urology department with perineal and urethral pain, dysuria, and macrohematuria. His medical history included complicated benign prostatic hyperplasia, vesical and splenic calculi, chronic cystitis, recurrent complicated urinary tract infections, and multiple prior urological interventions.Cystoscopy demonstrated nonspecific inflammation, incrustation of the bladder mucosa and prostatic area, and multiple bladder stones. Urine culture identified Conclusion: This case highlights the importance of considering rare infectious agents in patients with recurrent urinary tract infections, particularly in those with a history of multiple hospitalizations and broad-spectrum antibiotic exposure. Infectious calculi can act as a persistent source of infection and may not respond to systemic antibiotic therapy alone. In such cases, surgical debridement of the mucosa is essential to achieve effective treatment. LEARNING POINTS: Elderly or multimorbid patients with recurrent or refractory urinary tract infections should be evaluated for
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