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1.
Arch Esp Urol ; 71(7): 618-620, 2018 09.
Article in English, Spanish | MEDLINE | ID: mdl-30198854

ABSTRACT

OBJECTIVE: Purple urine bag syndrome is a rare entity that appears in elderly patients with long-term urinary catheters with chronic diseases. METHOD: We describe the cases of two patients admitted to our service, who serve as example to illustrate this pathology and which process should be followed in its diagnosis and treatment. CONCLUSION: Purple urine bag syndrome is a rare entity that occurs more frequently in elderly patients, women, with long-term urinary catheters, whose main factors are debilitating diseases, prolonged immobility and chronic constipation. It should be treated by avoiding the triggering factors, adequate hydration of the patient, antibiotics directly antibiogram therapy and the change of urinary catheter can be evaluated.


Subject(s)
Catheter-Related Infections/etiology , Catheter-Related Infections/urine , Urinary Catheterization/adverse effects , Urinary Catheters/adverse effects , Urinary Tract Infections/etiology , Urinary Tract Infections/urine , Aged, 80 and over , Color , Female , Humans , Male
2.
Arch. esp. urol. (Ed. impr.) ; 71(7): 618-620, sept. 2018. ilus, graf
Article in Spanish | IBECS | ID: ibc-178736

ABSTRACT

OBJETIVO: El síndrome de la orina morada en bolsa, es una entidad poco frecuente, que aparece en pacientes de edad avanzada, portadores de sonda urinaria de largo tiempo de evolución, con enfermedades crónicas. MÉTODO: Describimos los casos de dos pacientes ingresados en nuestro servicio, que sirven de ejemplo para ilustrar esta patología y que proceso se debe seguir en su diagnóstico y tratamiento. CONCLUSIÓN: El síndrome de la orina morada en bolsa es una entidad rara, que se presenta con más frecuencia en pacientes de edad avanzada, mujeres, portadoras de sonda urinaria de largo tiempo de evolución, y cuyos factores asociados principalmente son enfermedades debilitantes, inmovilidad prolongada y estreñimiento crónico. Se debe tratar evitando los factores desencadenantes, adecuada hidratación del paciente, antibioterapia dirigida según antibiograma y puede valorarse el cambio de sondaje urinario


OBJECTIVE: Purple urine bag syndrome is a rare entity that appears in elderly patients with long-term urinary catheters with chronic diseases. METHOD: We describe the cases of two patients admitted to our service, who serve as example to illustrate this pathology and which process should be followed in its diagnosis and treatment. CONCLUSION: Purple urine bag syndrome is a rare entity that occurs more frequently in elderly patients, women, with long-term urinary catheters, whose main factors are debilitating diseases, prolonged immobility and chronic constipation. It should be treated by avoiding the triggering factors, adequate hydration of the patient, antibiotics directly antibiogram therapy and the change of urinary catheter can be evaluated


Subject(s)
Humans , Male , Female , Aged, 80 and over , Catheter-Related Infections/etiology , Catheter-Related Infections/urine , Urinary Catheterization/adverse effects , Urinary Catheters/adverse effects , Urinary Tract Infections/etiology , Urinary Tract Infections/urine , Color
9.
Gastroenterol Hepatol ; 30(6): 334-7, 2007.
Article in Spanish | MEDLINE | ID: mdl-17662216

ABSTRACT

Abdominal tuberculosis (TB) is infrequent in the Western world. This disease occurs more commonly among at-risk populations, mainly among older patients and patients with HIV infection. Abdominal TB usually manifests as intestinal TB, peritoneal TB, and mediastinal lymphadenitis. Gastric TB is a rare manifestation of abdominal TB. We present the case of an 80-year-old man, who had been diagnosed with anemia 2 years previously without establishing the etiology. Treatment consisted of oral iron administration without improvement. Symptoms included epigastralgia, nausea and vomiting, as well as asthenia, anorexia and weight loss (approximately 20 kg in 2 years). A computed tomography scan showed mediastinal and mesenteric adenopathy, ascites, splenomegaly, and thickening of the gastric wall. Diagnosis was made by endoscopic biopsy of the affected areas in the antral region, the result being granulomatous chronic gastritis suggestive of tubercular origin.


Subject(s)
Stomach Diseases/diagnosis , Stomach Diseases/microbiology , Tuberculosis, Gastrointestinal/diagnosis , Aged, 80 and over , Humans , Male
10.
Gastroenterol. hepatol. (Ed. impr.) ; 30(6): 334-337, jun. 2007. ilus
Article in Es | IBECS | ID: ibc-057434

ABSTRACT

La tuberculosis (TBC) abdominal es una enfermedad poco común en los países occidentales. Aparece con más frecuencia en ciertos grupos de riesgo, entre los que destaca el de los pacientes infectados por el virus de la inmunodeficiencia humana y los ancianos. Las formas de presentación más frecuentes de la TBC abdominal son: TBC intestinal, peritonitis tuberculosa y linfadenitis mesentérica. La TBC gástrica es una forma poco frecuente de TBC abdominal. Presentamos el caso de un varón de 80 años de edad, con antecedente de anemia diagnosticada hace 2 años, sin etiología filiada, que fue tratada con hierro oral sin obtener mejoría. Presentaba epigastralgia, náuseas y vómitos, junto con astenia, anorexia y pérdida de unos 20 kg de peso de 2 años de evolución. En la tomografía computarizada se observaron adenopatías mediastínicas y mesentéricas, ascitis, esplenomegalia y engrosamiento de la pared y del antro gástrico. El diagnóstico se realizó por biopsia endoscópica de las lesiones en la región antral, con resultado de gastritis crónica granulomatosa sugestiva de origen fímico


Abdominal tuberculosis (TB) is infrequent in the Western world. This disease occurs more commonly among at-risk populations, mainly among older patients and patients with HIV infection. Abdominal TB usually manifests as intestinal TB, peritoneal TB, and mediastinal lymphadenitis. Gastric TB is a rare manifestation of abdominal TB. We present the case of an 80-year-old man, who had been diagnosed with anemia 2 years previously without establishing the etiology. Treatment consisted of oral iron administration without improvement. Symptoms included epigastralgia, nausea and vomiting, as well as asthenia, anorexia and weight loss (approximately 20 kg in 2 years). A computed tomography scan showed mediastinal and mesenteric adenopathy, ascites, splenomegaly, and thickening of the gastric wall. Diagnosis was made by endoscopic biopsy of the affected areas in the antral region, the result being granulomatous chronic gastritis suggestive of tubercular origin


Subject(s)
Male , Aged , Humans , Tuberculosis, Gastrointestinal/diagnosis , Biopsy , Anemia/etiology , Pyloric Antrum/pathology
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