Pseudospirochaetosis of the urinary bladder

This report describes an elderly patient with urinary symptoms who showed surface colonisation of the transitional mucosa of the bladder by an unusual haematoxophilic microorganism superficially resembling the “blue fuzz” seen in colonic biopsies showing intestinal spirochaetosis. Special stains sho...

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Veröffentlicht in:Journal of clinical pathology 2005-04, Vol.58 (4), p.437-438
Hauptverfasser: Chitale, S, Burgess, N, Barker, T H W, Roberts, P F
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container_title Journal of clinical pathology
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creator Chitale, S
Burgess, N
Barker, T H W
Roberts, P F
description This report describes an elderly patient with urinary symptoms who showed surface colonisation of the transitional mucosa of the bladder by an unusual haematoxophilic microorganism superficially resembling the “blue fuzz” seen in colonic biopsies showing intestinal spirochaetosis. Special stains showed that the organisms were Gram and Giemsa positive, weakly argyrophilic, and Ziehl-Nielsen negative. Immunostains were negative for Helicobacter pylori and electron microscopy revealed curious curved bodies, which were difficult to classify. Therefore, this condition was described as pseudospirochaetosis of the urinary bladder. The urinary symptoms regressed on treatment with ciprofloxacin. The clinicopathological relevance of these findings is discussed in the report.
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Special stains showed that the organisms were Gram and Giemsa positive, weakly argyrophilic, and Ziehl-Nielsen negative. Immunostains were negative for Helicobacter pylori and electron microscopy revealed curious curved bodies, which were difficult to classify. Therefore, this condition was described as pseudospirochaetosis of the urinary bladder. The urinary symptoms regressed on treatment with ciprofloxacin. 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purification</subject><subject>spirochaetes</subject><subject>Urinary Bladder Diseases - diagnosis</subject><subject>Urinary Bladder Diseases - microbiology</subject><subject>Urinary Bladder Diseases - parasitology</subject><subject>Urinary tract diseases</subject><subject>urinary tract infection</subject><subject>Urine</subject><subject>Urogenital system</subject><issn>0021-9746</issn><issn>1472-4146</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkUtP6zAQhS0Egl5gzQ5VQmJxUYrHdjxkg4TKU6qABY-l5TgOTUnjYifo3n-PUSpeG1azmG_OnJlDyA7QEQCXhzOzGDFKxYgymrJshQxAIEsECLlKBpQySDIUcoP8CWFGKXAEvk42IMWMIsgBObgNtitcWFTemam2rQtVGLpy2E7tsPNVo_3_YV7rorB-i6yVug52e1k3yf352d34MpncXFyNTyZJLhDbJCsFtWBsxphELRhHk0sKpihzrkGnvMQjnesUEHQGUKQmQ6A8h4IxNKbgm-S41110-dwWxjat17Va-Goe3SinK_W901RT9eReFSBSybMosL8U8O6ls6FV8yoYW9e6sa4LSmKaghC_gwxYtCZFBPd-gDPX-SZ-IS49AsoElxipw54y3oXgbfnhGah6z0vFvNR7XqrPK07sfj31k18GFIGkB6rQ2n8ffe2f4xUcU3X9MFYPksHt6QTUY-T_9nw-n_26_Q2WFKxk</recordid><startdate>200504</startdate><enddate>200504</enddate><creator>Chitale, S</creator><creator>Burgess, N</creator><creator>Barker, T H W</creator><creator>Roberts, P F</creator><general>BMJ Publishing Group Ltd and Association of Clinical Pathologists</general><general>BMJ Publishing Group LTD</general><general>Copyright 2005 Journal of Clinical Pathology</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7QL</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200504</creationdate><title>Pseudospirochaetosis of the urinary bladder</title><author>Chitale, S ; 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subjects Aged
Aged, 80 and over
Biopsy
Bladder
Cysts
Diagnosis, Differential
Diarrhea
electron microscopy
Enterocytozoon - isolation & purification
Female
Gram-Negative Bacterial Infections - diagnosis
Gram-Negative Bacterial Infections - microbiology
Gram-Negative Bacterial Infections - pathology
Helicobacter pylori
HIS
human intestinal spirochaetosis
Humans
Infections
lower urinary tract symptoms
Lyme disease
Microscopy
Microsporidiosis - diagnosis
Microsporidiosis - parasitology
Microsporidiosis - pathology
Morphology
Patients
pseudospirochaetosis
Short Reports/Case Reports
Spirochaeta - isolation & purification
spirochaetes
Urinary Bladder Diseases - diagnosis
Urinary Bladder Diseases - microbiology
Urinary Bladder Diseases - parasitology
Urinary tract diseases
urinary tract infection
Urine
Urogenital system
title Pseudospirochaetosis of the urinary bladder
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