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.