Case presentation
Our patient is a 66-year-old Saudi female with a past medical history of
hypertension, chronic obstructive pulmonary disease with secondary
polycythemia. She had a surgical history of laparoscopic
cholecystectomy, and an iatrogenic large bowel perforation following a
colonoscopy with subsequent right hemicolectomy in 2017.
The patient was admitted to our hospital with 1 month history of
recurrent dysuria and urinary incontinence. She also complained of
progressive lower limb weakness for the last 2 weeks.
On clinical examination she was alert and oriented with normal vitals.
She had suprapubic tenderness on palpation, but no renal angle
tenderness. Her neurological examination was significant for reduced
power in both lower limbs 3/5 without loss of sensations, planter
reflexes were preserved. The rest of her examination was unremarkable.
Labs on admission are summarized in (table 1), and (figure 1) lists the
patient’s medications at hospital admission.