Dysuria, Urinary Retention, and Inguinal Pain as Manifestation of Sacral Bannwarth Syndrome
Joint Authors
Finsterer, Josef
Dauth, Johannes
Angel, Kurt
Markowicz, Mateusz
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-11-17
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Only few cases with sacral radiculitis due to infection with Borrelia burgdorferi leading to neurogenic urinary dysfunction have been reported.
A 57-year-old male developed urethral pain and urinary retention, requiring permanent catheterization.
Extensive urological investigations did not reveal a specific cause, which was why neurogenic bladder dysfunction was suspected.
Neurologic exam revealed only mildly reduced tendon reflexes.
Cerebral and spinal MRI were noninformative.
CSF investigations, however, revealed pleocytosis, elevated protein, and antibodies against Borrelia burgdorferi.
Intravenous ceftriaxone for three weeks resulted in immediate improvement of bladder dysfunction, with continuous decline of residual urine volume and continuous increase of spontaneous urine volume even after removal of the catheter and initiation of self-catheterization.
Sacral radiculitis due to infection with Borrelia burgdorferi is a potential cause of detrusor areflexia and urethral, perineal, inguinal, and scrotal pain and may be misinterpreted as cystitis or urethritis.
Ceftriaxone may result in progressive recovery of bladder dysfunction and pain.
Neuroborreliosis may manifest exclusively as neurourological problem.
American Psychological Association (APA)
Finsterer, Josef& Dauth, Johannes& Angel, Kurt& Markowicz, Mateusz. 2015. Dysuria, Urinary Retention, and Inguinal Pain as Manifestation of Sacral Bannwarth Syndrome. Case Reports in Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058787
Modern Language Association (MLA)
Finsterer, Josef…[et al.]. Dysuria, Urinary Retention, and Inguinal Pain as Manifestation of Sacral Bannwarth Syndrome. Case Reports in Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058787
American Medical Association (AMA)
Finsterer, Josef& Dauth, Johannes& Angel, Kurt& Markowicz, Mateusz. Dysuria, Urinary Retention, and Inguinal Pain as Manifestation of Sacral Bannwarth Syndrome. Case Reports in Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058787
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058787