Pyocystis and Prostate Abscess in a Hemodialysis Patient in the Emergency Department

The urinary tract is an often forgotten and under-appreciated source of infection in anuric hemodialysis patients. Bladder abscess, also called pyocystis, is a severe complication of low urinary flow that can be difficult to detect, leading to delays in treatment and increased morbidity. The emer...

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Bibliographic Details
Main Authors: Phillip Stafford, Katherine M. Prybys
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2014-09-01
Series:Western Journal of Emergency Medicine
Online Access:http://escholarship.org/uc/item/7pn9m7nq
Description
Summary:The urinary tract is an often forgotten and under-appreciated source of infection in anuric hemodialysis patients. Bladder abscess, also called pyocystis, is a severe complication of low urinary flow that can be difficult to detect, leading to delays in treatment and increased morbidity. The emergency physician should maintain a high suspicion for pyocystis, which can be quickly diagnosed by bedside ultrasound. We report a case of a hemodialysis patient with an initially minor presentation who developed sepsis secondary to pyocystis and prostate abscess. [West J Emerg Med. 2014;15(6):655-658]
ISSN:1936-900X
1936-9018