First Pediatric Case of Clinically-Diagnosed Penicillin G-Induced Hemorrhagic Cystitis

Hemorrhagic cystitis is a diffuse inflammatory disease of the urinary bladder associated with macrohematuria. Several cases of hemorrhagic cystitis caused by penicillin G have been reported in adults but not children. Here we describe the first pediatric case of clinically-diagnosed penicillin G-ind...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2022-12, Vol.14 (12), p.e32246
Hauptverfasser: Hayashi, Ryo, Urushihara, Yasuko, Ishido, Hirotaka, Iwamoto, Yoichi, Korematsu, Seigo, Masutani, Satoshi
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container_title Curēus (Palo Alto, CA)
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creator Hayashi, Ryo
Urushihara, Yasuko
Ishido, Hirotaka
Iwamoto, Yoichi
Korematsu, Seigo
Masutani, Satoshi
description Hemorrhagic cystitis is a diffuse inflammatory disease of the urinary bladder associated with macrohematuria. Several cases of hemorrhagic cystitis caused by penicillin G have been reported in adults but not children. Here we describe the first pediatric case of clinically-diagnosed penicillin G-induced hemorrhagic cystitis. The patient was a 9-year-old boy with a ventricular septal defect, chromosomal abnormalities, and infective endocarditis caused by  . After approximately four weeks of penicillin G administration, he had a culture-negative major hemorrhage with a clot. The hematuria resolved one week after penicillin G discontinuation, and a drug lymphocyte stimulation test for penicillin G was positive. In conclusion, penicillin G can also induce hemorrhagic cystitis in children. When large doses of penicillin G are used for long periods in adults or children, the patient should be monitored for hemorrhagic cystitis.
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subjects Adults
Antibiotics
Bacterial infections
Bladder
Blood
Case reports
Disease prevention
Endocarditis
Hematuria
Immunology
Infections
Laboratories
Medical diagnosis
Patients
Pediatrics
Penicillin
Proteins
Radiation
Viral infections
title First Pediatric Case of Clinically-Diagnosed Penicillin G-Induced Hemorrhagic Cystitis
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