Tzu Chi Medical Journal
Volume 20, Issue 2 , Pages 144-146, June 2008

Ketamine-associated Ulcerative Cystitis

  • Yung-Chien Huang

      Affiliations

    • Department of Medical Imaging, Min-Sheng General Hospital, Taoyuan, Taiwan
  • ,
  • Chin-Ming Jeng

      Affiliations

    • Department of Radiology, Cathay General Hospital, Taipei, Taiwan
  • ,
  • Tzu-Chieh Cheng

      Affiliations

    • Department of Radiology, Cathay General Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Radiology, Cathay General Hospital, 280, Section 4, Jen-Ai Road, Taipei, Taiwan

Received 11 September 2007; received in revised form 19 October 2007; accepted 22 November 2007.

Article Outline

Abstract 

Well documented side effects of ketamine include altered mental status, and cardiovascular and respiratory toxicities. A new clinical entity termed ketamine-associated ulcerative cystitis characterized by irritative lower urinary tract symptoms has been reported recently. We report a case of ketamine-associated ulcerative cystitis in a 25-year-old man. He suffered progressive, painful hematuria, dysuria and suprapubic pain several days after beginning ketamine abuse. His symptoms aggravated over the next 6 months and imaging studies confirmed a contractile urinary bladder with bilateral hydronephrosis and hydroureter. Although there was partial relief of his symptoms after cessation of ketamine abuse, he now requires regular hemodialysis for end-stage renal disease.

Keywords:  Eosinophilic cystitis , Ketamine , Ketamine associated ulcerative cystitis

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PII: S1016-3190(08)60026-9

doi:10.1016/S1016-3190(08)60026-9

Tzu Chi Medical Journal
Volume 20, Issue 2 , Pages 144-146, June 2008