Diffused bladder wall calcification in a survivor with severe coronavirus disease 2019: A case report.
Medicine (Baltimore)
; 101(34): e30314, 2022 Aug 26.
Article
in English
| MEDLINE | ID: covidwho-2008668
ABSTRACT
RATIONALE Bladder calcification is a rare presentation that was first interpreted to be related to a urea-splitting bacterial infection. Aside from infection, other hypotheses such as schistosomiasis, tuberculosis, cancer, and cytokine-induced inflammatory processes have also been reported. Severe coronavirus disease 2019 (COVID-19) is known for its provoking cytokine storm and uninhibited systematic inflammation, and calcification over the coronary artery or lung has been reported as a long-term complication. PATIENT CONCERNS We presented a 68 years old man who had persistent lower urinary tract symptoms after recovery from severe COVID-19. No urea-splitting bacteria were identified from urine culture. DIAGNOSIS Cystoscopy examination revealed diffuse bladder mucosal and submucosa calcification. INTERVENTIONS:
Transurethral removal of the mucosal calcification with lithotripsy.OUTCOMES:
The patient's lower urinary tract symptoms improved, and stone analysis showed 98% calcium phosphate and 2% calcium oxalate. No newly formed calcifications were found at serial follow-up.CONCLUSION:
Diffuse bladder calcification may be a urinary tract sequela of COVID-19 infection. Patients with de novo lower urinary tract symptoms after severe COVID-19 should be further investigated.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Urinary Bladder Diseases
/
Calcinosis
/
Lower Urinary Tract Symptoms
/
COVID-19
Type of study:
Case report
/
Cohort study
/
Prognostic study
/
Systematic review/Meta Analysis
Topics:
Long Covid
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Medicine (Baltimore)
Year:
2022
Document Type:
Article
Affiliation country:
MD.0000000000030314
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