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Published on: December 19, 2020
Diffused bladder wall calcification in a survivor with severe coronavirus disease 2019: A case report
Pai-Yu Cheng1,2, Yi-You Huang1, Fu-Shan Jaw1
1Department of Biomedical Engineering, College of Medicine and College of Engineering, National Taiwan University, Taiwan.
Severe COVID-19 can lead to bladder calcification, a rare condition causing urinary symptoms. This case highlights a potential long-term complication of the infection, emphasizing the need for further investigation in affected patients.
Area of Science:
- Urology
- Infectious Diseases
- Nephrology
Background:
- Bladder calcification is uncommon, with prior associations to infections, schistosomiasis, tuberculosis, cancer, and inflammatory conditions.
- Severe COVID-19 is characterized by a cytokine storm and systemic inflammation, with reported long-term complications including coronary artery and lung calcification.
Observation:
- A 68-year-old male presented with persistent lower urinary tract symptoms post-severe COVID-19.
- Urine cultures were negative for urea-splitting bacteria.
- Cystoscopy revealed diffuse calcification of the bladder mucosa and submucosa.
Findings:
- Transurethral lithotripsy successfully removed the mucosal calcification.
- Stone analysis revealed a composition of 98% calcium phosphate and 2% calcium oxalate.
- The patient's lower urinary tract symptoms resolved, with no recurrence of calcification on follow-up.
Implications:
- Diffuse bladder calcification may represent a sequela of COVID-19 infection.
- New-onset lower urinary tract symptoms following severe COVID-19 warrant thorough investigation for potential urinary tract complications.
- This finding expands the spectrum of known long-term complications associated with severe coronavirus disease 2019.
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