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CES Medicina
versão impressa ISSN 0120-8705
Resumo
BUSTAMANTE, LUIS ALFONSO; BOTERO, MIGUEL e ESCOBAR, JAIME. Enterococcus hemorrhagic cystitis. A case report and literature review. CES Med. [online]. 2011, vol.25, n.2, pp.231-242. ISSN 0120-8705.
Gross hematuria is more a symptom and clinical sign than a disease by itself, because behind this there is always a disease that is responsible for it. Gross hematuria always obligates to be studied because many potentially complicated diseases might generate some morbidity for patient. Clinical history and physical examination are fundamental for guiding initial laboratory approach in our patients, which should be started with an urinalysis and continued as necessary for corroborating suspected diagnosis by clinical history and physical examination. We present an unusual case of 12 years old patient with gross hematuria that comes to emergency department, some laboratories test were taken looking for the most frequent pathologies, but we made the diagnosis of a very unusual case of enterococcal hemorrhagic cystitis, about what there are no previous reports in medical literature. This unusual case allows a review of literature on macroscopic haematuria in paediatric population in order to clarify the diagnostic approach in this type of symptomatology, as was done in this patient
Palavras-chave : Hematuria; Cystitis; Urinary tract infections; Gram-Positive Cocci.