{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T22:07:57Z","timestamp":1648937277611},"reference-count":11,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Medicine"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>Neuropathic urinary bladder is often colonised by multidrug-resistant bacteria. We report a 64-year-old male spinal cord injury patient with paraplegia, who received gentamicin on empirical basis before undergoing suprapubic cystostomy, as antibiotic sensitivity report of urine was not available. This patient developed fulminate septicaemia. Although appropriate antibiotic therapy (meropenem) was started when this patient manifested features of sepsis, acute renal failure occurred and he expired. Inappropriate initial antimicrobial therapy was the major contributory factor for this patient's mortality. Learning points from this case are (1) never do a cystostomy without prior urine culture and appropriate antibiogram; (2) in a chronic spinal cord injury patient, full blood count, liver function tests, albumin level, and albumin to globulin ratio should be performed before any surgical procedure.<\/jats:p>","DOI":"10.1155\/2010\/461514","type":"journal-article","created":{"date-parts":[[2010,6,10]],"date-time":"2010-06-10T11:38:02Z","timestamp":1276169882000},"page":"1-4","source":"Crossref","is-referenced-by-count":1,"title":["Fatal Septicaemia Following Suprapubic Cystostomy in a Paraplegic Patient: Never Do a Cystostomy without Prior Urine Culture and Appropriate Antibiogram!"],"prefix":"10.1155","volume":"2010","author":[{"given":"Subramanian","family":"Vaidyanathan","sequence":"first","affiliation":[{"name":"Regional Spinal Injuries Centre, District General Hospital, Southport, Merseyside PR8 6PN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bakul M.","family":"Soni","sequence":"additional","affiliation":[{"name":"Regional Spinal Injuries Centre, District General Hospital, Southport, Merseyside PR8 6PN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tun","family":"Oo","sequence":"additional","affiliation":[{"name":"Regional Spinal Injuries Centre, District General Hospital, Southport, Merseyside PR8 6PN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter L.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Radiology, District General Hospital, Southport, Merseyside PR8 6PN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gurpreet","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Urology, District General Hospital, Southport, Merseyside PR8 6PN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"issue":"4","key":"1","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1007\/BF02935314","volume":"15","year":"1996","journal-title":"Immunologic Research"},{"issue":"2","key":"2","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1080\/10790268.2000.11753520","volume":"23","year":"2000","journal-title":"Journal of Spinal Cord Medicine"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.expneurol.2007.05.019"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/01.mej.0000228455.45597.3f"},{"key":"5","doi-asserted-by":"crossref","first-page":"67S","DOI":"10.1016\/S0002-9343(02)01061-6","volume":"113","year":"2002","journal-title":"American Journal of Medicine"},{"issue":"1","key":"6","doi-asserted-by":"crossref","first-page":"2","DOI":"10.17305\/bjbms.2009.2849","volume":"9","year":"2009","journal-title":"Bosnian Journal of Basic Medical Sciences"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2000.6977"},{"issue":"4","key":"8","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1179\/acb.2009.052","volume":"64","year":"2009","journal-title":"Acta Clinica Belgica"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1007\/BF02850350"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1378\/chest.09-0087"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-008-1367-2"}],"container-title":["Case Reports in Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crim\/2010\/461514.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crim\/2010\/461514.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crim\/2010\/461514.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,29]],"date-time":"2019-05-29T21:11:31Z","timestamp":1559164291000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/crim\/2010\/461514\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":11,"alternative-id":["461514","461514"],"URL":"https:\/\/doi.org\/10.1155\/2010\/461514","relation":{},"ISSN":["1687-9627","1687-9635"],"issn-type":[{"value":"1687-9627","type":"print"},{"value":"1687-9635","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010]]}}}