Recurrent Urinary Tract Infection in an Elderly Man

Lung-Yi Mak, Tuen-Ching Chan, Hon-Wai Chan, Ivan Fan Ngai Hung


An elderly man with newly diagnosed dilated cardiomyopathy and benign prostatic hypertrophy presented with classical symptoms of complicated urinary tract infection (UTI) in a recurrent manner. A simple investigation, the plain abdominal X-ray, was overlooked and the diagnoses of staghorn stones and bladder stones were not made effectively. The outcome of UTI in men, which is often complicated, can be devastating. Surgical intervention can treat the root cause of recurrent UTI; however, in this gentleman with major medical comorbidity, limited options are available.

J Med Cases. 2016;7(10):445-447


Cardiomyopathy; Male; Nephrolithotomy; Pyelonephritis; Radiograph; Septicemia; Staghorn stone; Struvite stone; Urinary tract infection; Urolithiasis

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