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 |
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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. The clinicopathological relevance of these findings is discussed in the report.</description><identifier>ISSN: 0021-9746</identifier><identifier>EISSN: 1472-4146</identifier><identifier>DOI: 10.1136/jcp.2004.020529</identifier><identifier>PMID: 15790716</identifier><identifier>CODEN: JCPAAK</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and Association of Clinical Pathologists</publisher><subject>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</subject><ispartof>Journal of clinical pathology, 2005-04, Vol.58 (4), p.437-438</ispartof><rights>Copyright 2005 Journal of Clinical Pathology</rights><rights>Copyright: 2005 Copyright 2005 Journal of Clinical Pathology</rights><rights>Copyright © Copyright 2005 Journal of Clinical Pathology 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b477t-9f40e1ce92267a4237cb601cdfb3a1a53f78aba5171a911d5c97103b1d227ccd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1770639/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1770639/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15790716$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chitale, S</creatorcontrib><creatorcontrib>Burgess, N</creatorcontrib><creatorcontrib>Barker, T H W</creatorcontrib><creatorcontrib>Roberts, P F</creatorcontrib><title>Pseudospirochaetosis of the urinary bladder</title><title>Journal of clinical pathology</title><addtitle>J Clin Pathol</addtitle><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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biopsy</subject><subject>Bladder</subject><subject>Cysts</subject><subject>Diagnosis, Differential</subject><subject>Diarrhea</subject><subject>electron microscopy</subject><subject>Enterocytozoon - isolation & purification</subject><subject>Female</subject><subject>Gram-Negative Bacterial Infections - diagnosis</subject><subject>Gram-Negative Bacterial Infections - microbiology</subject><subject>Gram-Negative Bacterial Infections - pathology</subject><subject>Helicobacter pylori</subject><subject>HIS</subject><subject>human intestinal spirochaetosis</subject><subject>Humans</subject><subject>Infections</subject><subject>lower urinary tract symptoms</subject><subject>Lyme disease</subject><subject>Microscopy</subject><subject>Microsporidiosis - diagnosis</subject><subject>Microsporidiosis - parasitology</subject><subject>Microsporidiosis - pathology</subject><subject>Morphology</subject><subject>Patients</subject><subject>pseudospirochaetosis</subject><subject>Short Reports/Case Reports</subject><subject>Spirochaeta - isolation & 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 ; Burgess, N ; Barker, T H W ; Roberts, P F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b477t-9f40e1ce92267a4237cb601cdfb3a1a53f78aba5171a911d5c97103b1d227ccd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biopsy</topic><topic>Bladder</topic><topic>Cysts</topic><topic>Diagnosis, Differential</topic><topic>Diarrhea</topic><topic>electron microscopy</topic><topic>Enterocytozoon - isolation & purification</topic><topic>Female</topic><topic>Gram-Negative Bacterial Infections - diagnosis</topic><topic>Gram-Negative Bacterial Infections - microbiology</topic><topic>Gram-Negative Bacterial Infections - pathology</topic><topic>Helicobacter pylori</topic><topic>HIS</topic><topic>human intestinal spirochaetosis</topic><topic>Humans</topic><topic>Infections</topic><topic>lower urinary tract symptoms</topic><topic>Lyme disease</topic><topic>Microscopy</topic><topic>Microsporidiosis - diagnosis</topic><topic>Microsporidiosis - parasitology</topic><topic>Microsporidiosis - pathology</topic><topic>Morphology</topic><topic>Patients</topic><topic>pseudospirochaetosis</topic><topic>Short Reports/Case Reports</topic><topic>Spirochaeta - isolation & purification</topic><topic>spirochaetes</topic><topic>Urinary Bladder Diseases - diagnosis</topic><topic>Urinary Bladder Diseases - microbiology</topic><topic>Urinary Bladder Diseases - parasitology</topic><topic>Urinary tract diseases</topic><topic>urinary tract infection</topic><topic>Urine</topic><topic>Urogenital system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chitale, S</creatorcontrib><creatorcontrib>Burgess, N</creatorcontrib><creatorcontrib>Barker, T H W</creatorcontrib><creatorcontrib>Roberts, P F</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chitale, S</au><au>Burgess, N</au><au>Barker, T H W</au><au>Roberts, P F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pseudospirochaetosis of the urinary bladder</atitle><jtitle>Journal of clinical pathology</jtitle><addtitle>J Clin Pathol</addtitle><date>2005-04</date><risdate>2005</risdate><volume>58</volume><issue>4</issue><spage>437</spage><epage>438</epage><pages>437-438</pages><issn>0021-9746</issn><eissn>1472-4146</eissn><coden>JCPAAK</coden><abstract>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.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and Association of Clinical Pathologists</pub><pmid>15790716</pmid><doi>10.1136/jcp.2004.020529</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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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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