Large urate cystolith associated with Proteus urinary tract infection

R Chew, S Thomas, MLN Mantha… - Kidney …, 2012 - kidney-international.org
An 84-year-old woman presented three times in 4 months with acute confusion. She had no
significant medical history and had satisfactory baseline cognition given her age, with a pre-
morbid mini-mental state examination score of 28/30. At each presentation, she was
diagnosed with urinary tract infection, treated with oral antibiotics, and discharged within
48h. She had a post-void residual volume of 22ml on a bladder scan performed before her
first admission. All urine cultures grew Proteus mirabilis. During her last admission, a …
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