Clinical communication| Volume 8, ISSUE 1, P25-28, January 1990

Download started.


Multiple sclerosis and asymptomatic urinary tract infection

      This paper is only available as a PDF. To read, Please Download here.


      Multiple sclerosis patients with bladder dysfunction are prone to have an asymptomatic urinary tract infection. Because bladder function abnormalities occur at some time in 70% to 90% of multiple sclerosis patients, a quantitative estimate of the bacterial concentration in the urine as well as a culture is mandatory. treatment of bladder dysfunction or infection will vary according to the postvoiding residual volume. A patient with multiple sclerosis and asymptomatic urinary tract infection is reported that highlights strategies for the diagnosis and treatment of the urinary tract infection.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Poser C.M.
        in: Poser C.M. The diagnosis of multiple sclerosis. Thieme-Stratton, New York1984: 76
        • Van Poppel H.
        • Vereecke R.L.
        • Leruitte A.
        Neuromuscular dysfunction of the lower urinary tract in multiple sclerosis.
        Paraplegia. 1983; 21: 374-379
        • Rabey J.M.
        • Moriel E.Z.
        • Farkas A.
        • Firstater M.
        • Vardi I.
        • Streifler M.
        Detrusor hyperflexia in multiple sclerosis.
        Eur Neurol. 1979; 18: 33-37
        • Blaivas J.G.
        • Bhimani G.
        • Labib K.B.
        Vesicourethral dysfunction in multiple sclerosis.
        J Urol. 1979; 122: 196-198
        • Roehrborn C.H.
        • Peters P.C.
        Can transabdominal ultrasound estimation of post-void in residual (PVR) replace catheterization?.
        Uroradiology. 1988; 31: 445-449
        • Craig W.A.
        • Kunin C.M.
        Quantitative urine culture method using a plastic “paddle” containing dual media.
        Appl Microbiology. 1972; 23: 919-922
        • Shibaski H.
        • McDonald W.I.
        • Kuroiwa Y.
        Racial modification of the clinical picture of multiple sclerosis: comparison between British and Japanese patients.
        J Neurological Sci. 1981; 49: 253-271
        • Miller H.
        • Simpson C.A.
        • Yeates W.K.
        Bladder dysfunction in multiple sclerosis.
        Br Med J. 1965; 1: 1265-1269
        • Blaivas J.G.
        • Holland N.J.
        • Giessey B.
        • Larocca N.J.
        • Madonna M.
        • Schernberg I.
        Multiple sclerosis, bladder studies, and care.
        Ann NY Acad Sci. 1984; 436: 326-346
        • Blaivas J.G.
        Management of bladder dysfunction in multiple sclerosis.
        Neurology (NY). 1980; 30: 12-18
        • Philip T.
        • Read D.J.
        • Higson R.H.
        The urodynamic characteristics of multiple sclerosis.
        Br J Urol. 1981; 53: 672-675
        • Lapides J.
        • Diokno A.C.
        • Siber S.J.
        • Lowe B.S.
        Clean, intermittent self-catheterization in the treatment of urinary tract disease.
        Trans Am Assoc Genitourinary Surg. 1971; 63: 92-96
        • Smith C.R.
        • Aisen M.L.
        • Scheinberg L.
        Symptomatic management of multiple sclerosis.
        in: McDonald W.I. Silberberg D.H. Multiple sclerosis. Butterworth, Stoneham, Maine1986: 166-184
        • Buckwold F.J.
        • Ludwig P.
        • Harding G.K.
        Therapy for acute cystitis in adult women: Randomized comparison of single-dose sulfisoxazole vs trimethoprim-sulfamethoxazole.
        JAMA. 1982; 247: 1839-1842
        • Simons D.J.
        A note on the effect of heat and cold upon certain symptoms of multiple sclerosis.
        Bull Neurol Inst NY. 1937; 6: 385-386
        • Davis F.A.
        Hot bath test in the diagnosis of multiple sclerosis.
        J Mt Sinai Hospital. 1966; 33: 280-282
        • Nelson D.A.
        • Jefferies W.H.
        • McDowell R.
        Effect of induced hyperthermia on some neurological diseases.
        Arch Neurol Psych. 1958; 79: 31-39
        • Berger J.R.
        • Sheremata W.A.
        The hot bath test with multiple sclerosis.
        JAMA. 1982; 247: 979
        • Berger J.R.
        • Sheremata W.A.
        Persistent neurological deficit precipitated by hot bath in multiple sclerosis.
        JAMA. 1983; 249: 1751-1752