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November 1973, Vol 126, No. 5 >
Article | November 1973

Cause of Acute Hemorrhagic Cystitis in Children FREE

Maurice A. Mufson, MD; Robert B. Belshe; Terrence J. Horrigan, MD; Lowell M. Zollar, MD, MPH
[+] Author Affiliations

Received for publication April 6, 1973; accepted July 2.

Reprint requests to Department of Medicine, Abraham Lincoln School of Medicine, University of Illinois at the Medical Center, PO Box 6998, Chicago 60680 (Dr. Mufson).


Am J Dis Child. 1973;126(5):605-609. doi:10.1001/archpedi.1973.02110190487004.
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Comments

Acute hemorrhagic cystitis (AHC) characterized by gross hematuria and symptoms of bladder inflammation occurs in children as a self-limited disease that must be differentiated from serious renal disorders. Of 69 children with AHC, adenovirus type 11 was recovered from the urine of ten, and adenovirus type 21 from the urine of two. Two of 42 control children also had adenovirus type 11 viruria. An increase in adenovirus type 11 neutralizing antibody was detected in four of four AHC patients with adenovirus 11 viruria, in one of five children with bacteriuria, and in one of 19 children from whom no agent was recovered. Twelve patients had Escherichia coli bacteriuria. Bacteria were not isolated from the urine of 18 control patients. Overall, adenovirus or E coli infections were detected in 39% of AHC cases.

REFERENCES

1 +
Mufson MA, et al:  Adenovirus infection in acute hemorrhagic cystitis: A study in 25 children . Am J Dis Child 121:281-285, 1971;.
2 +
Numazaki Y, et al:  Acute hemorrhagic cystitis in children: Isolation of adenovirus type 11 . N Engl J Med 278:700-704, 1968;.
3 +
More T:  True Infective abacterial pyuria . Br J Urol 17:131, 1945;.
4 +
Hanash KA, Pool TL:  Interstitial and hemorrhagic cystitis: Viral bacterial and fungal studies . J Urol 104:705-706, 1970;.
5 +
Mufson MA, Krause HE, Mocega HE:  Viruses, Mycoplasma pneumoniae and bacteria associated with lower respiratory tract disease among infants . Am J Epidemiol 91:192-202, 1970;.
6 +
Recommended Method for the Use of Myxoviruses, Reoviruses, and Vaccinia Hemagglutination (HA) and Hemagglutination-Inhibition (HI) Reagents . US Dept of Health, Education, and Welfare, Public Health Service, 1971;.
7 +
Chanock RM, Hayflick L, Barile MF:  Growth on artificial medium of an agent associated with atypical pneumonia and its identification as a PPLO . Proc Natl Acad Sci USA 48:41-49, 1962;.
8 +
Brandt CD, Kim HW, Vargosko AJ:  Infections in 18,000 infants and children in a controlled study of respiratory tract disease: I. Adenovirus pathogenicity in relation to serologic type and illness syndrome . Am J Epidemiol 90:484-500, 1969;.
9 +
Kunin CM:  Epidemiology and natural history of urinary tract infection in school age children . Ped Clin of North Amer 18:509-528, 1971;.
10 +
Kunin CM, Southall I, Paquin AJ:  Epidemiology of urinary tract infections: A pilot study of 3,057 school children . N Engl J Med 263:817-823, 1960;.
11 +
Berg RL, Weinberger H, Dienes L:  Acute hemorrhagic cystitis: An infection associated with pleuropneumonia-like organisms and related to urethritis and prostatitis . Am J Med 22:848-864, 1957;.

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References

1 +
Mufson MA, et al:  Adenovirus infection in acute hemorrhagic cystitis: A study in 25 children . Am J Dis Child 121:281-285, 1971;.
2 +
Numazaki Y, et al:  Acute hemorrhagic cystitis in children: Isolation of adenovirus type 11 . N Engl J Med 278:700-704, 1968;.
3 +
More T:  True Infective abacterial pyuria . Br J Urol 17:131, 1945;.
4 +
Hanash KA, Pool TL:  Interstitial and hemorrhagic cystitis: Viral bacterial and fungal studies . J Urol 104:705-706, 1970;.
5 +
Mufson MA, Krause HE, Mocega HE:  Viruses, Mycoplasma pneumoniae and bacteria associated with lower respiratory tract disease among infants . Am J Epidemiol 91:192-202, 1970;.
6 +
Recommended Method for the Use of Myxoviruses, Reoviruses, and Vaccinia Hemagglutination (HA) and Hemagglutination-Inhibition (HI) Reagents . US Dept of Health, Education, and Welfare, Public Health Service, 1971;.
7 +
Chanock RM, Hayflick L, Barile MF:  Growth on artificial medium of an agent associated with atypical pneumonia and its identification as a PPLO . Proc Natl Acad Sci USA 48:41-49, 1962;.
8 +
Brandt CD, Kim HW, Vargosko AJ:  Infections in 18,000 infants and children in a controlled study of respiratory tract disease: I. Adenovirus pathogenicity in relation to serologic type and illness syndrome . Am J Epidemiol 90:484-500, 1969;.
9 +
Kunin CM:  Epidemiology and natural history of urinary tract infection in school age children . Ped Clin of North Amer 18:509-528, 1971;.
10 +
Kunin CM, Southall I, Paquin AJ:  Epidemiology of urinary tract infections: A pilot study of 3,057 school children . N Engl J Med 263:817-823, 1960;.
11 +
Berg RL, Weinberger H, Dienes L:  Acute hemorrhagic cystitis: An infection associated with pleuropneumonia-like organisms and related to urethritis and prostatitis . Am J Med 22:848-864, 1957;.

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