A 5-day antibiotic course for treatment of intermittent catheter-associated urinary tract infection in patients with spinal cord injury.

Introduction: This was a retrospective monocentric study conducted at Centre Calvé, France, with the objective of evaluating the effectiveness of a 5-day course of antibiotics for symptomatic (mild urinary tract infection, UTI) or asymptomatic (aBact) bacteriuria in patients with spinal cord injury on intermittent catheterization.

Case Presentation: This study was conducted from May 2013 to September 2016. Antibiotic selection always followed culture collection and analysis of antibiograms.

Validity of urine dipstick test to assess eradication of urinary tract infection in persons with spinal cord injury.

Objectives: To prospectively study the predictive value (PV) of urine nitrite (NIT) dipstick testing against urine cultures during antibiotic treatment for urinary tract infection (UTI), and other situations, in patients with spinal cord injury (SCI).

Methods: Inpatients with SCI on intermittent catheterisation (IC) or a Foley indwelling catheter (FC) were included. Urine specimens were collected in patients without symptoms (routine), with symptoms of UTI (suspicion), and on day 4 of a 5-day antibiotic treatment (ATB+3).

[Adenocarcinoma of the rete testis. Review of the literature apropos of a new case].

The authors report the case of a 66 year old man with a Boden stage I adenocarcinoma of the rete testis treated by orchiectomy and adjuvant chemotherapy. Lung metastases developed 46 months later and were responsible for death despite further chemotherapy. Adenocarcinoma of the rete testis is an exceptional tumour, as only 23 cases satisfying the criteria defined by Feek and Hunter have been reported in the literature.

[Pyeloduodenal fistula. Apropos of a new case].

A pyelo duodenal fistula is rarely observed although anatomical relations between the high urinary tract and digestive tractus are closed. The authors report here a new observation of pyelo-duodenal fistula and make correlations with the 73 observations published in mondial literature. Spontaneous fistulas from urinary etiology are the most frequent.