{"id":160,"date":"2022-07-21T00:58:51","date_gmt":"2022-07-20T22:58:51","guid":{"rendered":"https:\/\/www.imunomed.ro\/?p=160"},"modified":"2022-07-21T00:58:51","modified_gmt":"2022-07-20T22:58:51","slug":"cistita-acuta-nespecifica-recidivanta-remisa-sub-tratament-cu-prednison-2","status":"publish","type":"post","link":"https:\/\/www.imunomed.ro\/?p=160&lang=ro","title":{"rendered":"Cistita acuta nespecifica recidivanta remisa sub tratament cu Prednison"},"content":{"rendered":"<p>Pacienta in virsta de 51 ani, sex feminin, a prezentat din adolescenta episoade multiple de cistite acute nespecifice (uroculturi sistematic negative si uroculturi BK negative), declansate in special de expunerea la frig, fara ameliorare la antiinflamatoare nesteroidiene sau antibiotice dar cu remisie foarte buna la Prednison.<\/p>\n<p>Investigatiile paraclinice in limite normale.<\/p>\n<p>Examen genital combinat cu examen ecogafic: chisturi ovariene bilaterale cu observatie endometriom sau chist dermoid (clinic prezenta dismenoree cu menstruatii prelungite si dureri menstruale intense, cu cedare la Piafen injectabil (metamizol+pitofenona+fenpipramida) .<\/p>\n<p>S-a emis suspiciunea si de endometrioza, deoarece endometrul prezenta mucoasa ingrosata, atit ecografic cit si anatomo-patologic (examenul a fost efectuat in cadrul histerectomiei totale cu anexectomie bilaterala cu extirparea colului uterin pentru chisturile bilaterale ovariene; examenul anatomo-patologic nu a evidentiat leziuni maligne, <span>doar chisturi ovariene benigne cu pereti ingrosati, unul dintre ele cu continut hemoragic si mucoasa <\/span><span>endometriala<\/span><span> ingrosata<\/span><span>).<\/span><\/p>\n<p>Particularitatea cazului este ca uretro-cistita pare inflamatorie fara context infectios, cu remisie la Prednison, cu debut in general la nivelul uretrei si la expunerea la frig (deci o uretrita nespecifica), la o pacienta cu antecedente de urticarie cronica (nu la frig, dar uneori la expunerea la radiatiile solare) <span>si antecedente de reactii adverse medicamentoase<\/span><i><span> <\/span><\/i><span>.<\/span><\/p>\n<p>Pare legatura cu statusul hormonal , deoarece biopsia din mucoasa vezicii urinare (biopsie efectuata in scop de diagnostic) a evidentiat aspect nespecific cu focare de metaplazie de endometru, acestea fiind interpretate de anatomo-patolog ca fiind nespecifice, obisnuite in cadrul unei cistite.<\/p>\n<p>Dismenoreea a avut raspuns slab la tratamentul cu progesteron sau estro-progestative, deci este posibil ca tesutul ectopic sa fi fost situat nu numai la nivelul mucoasei uterine, ci si la nivelul tractului genital.<\/p>\n<p>Particularitatea cazului este raspunsul deosebit de bun la Prednison, in conditiile in care pacienta a prezentat in antecedente si un episod de metroanexita acuta cu raspuns bun la Prednison.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pacienta in virsta de 51 ani, sex feminin, a prezentat din adolescenta episoade multiple de cistite acute nespecifice (uroculturi sistematic negative si uroculturi BK negative), declansate in special de expunerea la frig, fara ameliorare la antiinflamatoare nesteroidiene sau antibiotice dar cu remisie foarte buna la Prednison. Investigatiile paraclinice in limite [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[51],"tags":[],"class_list":["post-160","post","type-post","status-publish","format-standard","hentry","category-oncologie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cistita acuta nespecifica recidivanta remisa sub tratament cu Prednison - Imunomed<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.imunomed.ro\/?p=160&lang=ro\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cistita acuta nespecifica recidivanta remisa sub tratament cu Prednison - Imunomed\" \/>\n<meta property=\"og:description\" content=\"Pacienta in virsta de 51 ani, sex feminin, a prezentat din adolescenta episoade multiple de cistite acute nespecifice (uroculturi sistematic negative si uroculturi BK negative), declansate in special de expunerea la frig, fara ameliorare la antiinflamatoare nesteroidiene sau antibiotice dar cu remisie foarte buna la Prednison. 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