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Signa vitae : journal for intesive care and emergency medicine, Vol. 3 No. 2, 2008.

Professional paper

Urinary peritonitis caused by gangrenous cystitis

BOUBAKER CHARRA ; Medical Intensive Care Unit, Ibn Rochd University Hospital; Casablanca 20 000, Morocco
ABDELHAMID HACHIMI ; Medical Intensive Care Unit, Ibn Rochd University Hospital; Casablanca 20 000, Morocco
MUSTAPHA SODKI ; Medical Intensive Care Unit, Ibn Rochd University Hospital; Casablanca 20 000, Morocco
HOUDA GUEDDARI ; Medical Intensive Care Unit, Ibn Rochd University Hospital; Casablanca 20 000, Morocco
ABDELLATIF BENSLAMA ; Medical Intensive Care Unit, Ibn Rochd University Hospital; Casablanca 20 000, Morocco
SAID MOTAOUAKKIL ; Medical Intensive Care Unit, Ibn Rochd University Hospital; Casablanca 20 000, Morocco

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Abstract

We report a case of a young man who developed severe urinary sepsis, on the 21st day of hospitalization (DH), which was treated with ciprofloxacin and gentamicin. On the 30th DH, he developed bloodstream and urinary infections due to Acinetobacter baumannii which had been treated with colistin and rifampicin. On the 55th DH, he developed urinary peritonitis and necrosis of the anterior and posterior bladder wall. Bilateral ureterostomy was performed. The patient was treated with colistin and imipenem. Peritoneal fluid culture yielded Enterobacter cloacae susceptible to imipenem. An enterocystoplasty was performed. The outcome was favourable.

Keywords

peritonitis; Acinetobacter baumannii; colistin, rifampicin

Hrčak ID:

28699

URI

https://hrcak.srce.hr/28699

Publication date:

1.10.2008.

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