Fatal Septicaemia Following Suprapubic Cystostomy in a Paraplegic Patient : Never Do a Cystostomy without Prior Urine Culture and Appropriate Antibiogram!
Joint Authors
Vaidyanathan, Subramanian
Soni, Bakul M.
Hughes, Peter L.
Oo, Tun
Singh, Gurpreet
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-06-10
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Neuropathic urinary bladder is often colonised by multidrug-resistant bacteria.
We report a 64-year-old male spinal cord injury patient with paraplegia, who received gentamicin on empirical basis before undergoing suprapubic cystostomy, as antibiotic sensitivity report of urine was not available.
This patient developed fulminate septicaemia.
Although appropriate antibiotic therapy (meropenem) was started when this patient manifested features of sepsis, acute renal failure occurred and he expired.
Inappropriate initial antimicrobial therapy was the major contributory factor for this patient's mortality.
Learning points from this case are (1) never do a cystostomy without prior urine culture and appropriate antibiogram; (2) in a chronic spinal cord injury patient, full blood count, liver function tests, albumin level, and albumin to globulin ratio should be performed before any surgical procedure.
American Psychological Association (APA)
Vaidyanathan, Subramanian& Soni, Bakul M.& Oo, Tun& Hughes, Peter L.& Singh, Gurpreet. 2010. Fatal Septicaemia Following Suprapubic Cystostomy in a Paraplegic Patient : Never Do a Cystostomy without Prior Urine Culture and Appropriate Antibiogram!. Case Reports in Medicine،Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-473402
Modern Language Association (MLA)
Vaidyanathan, Subramanian…[et al.]. Fatal Septicaemia Following Suprapubic Cystostomy in a Paraplegic Patient : Never Do a Cystostomy without Prior Urine Culture and Appropriate Antibiogram!. Case Reports in Medicine No. 2010 (2010), pp.1-4.
https://search.emarefa.net/detail/BIM-473402
American Medical Association (AMA)
Vaidyanathan, Subramanian& Soni, Bakul M.& Oo, Tun& Hughes, Peter L.& Singh, Gurpreet. Fatal Septicaemia Following Suprapubic Cystostomy in a Paraplegic Patient : Never Do a Cystostomy without Prior Urine Culture and Appropriate Antibiogram!. Case Reports in Medicine. 2010. Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-473402
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-473402