May 2020 Case of the Month

A 68 year old male was admitted for ultrasonic lithotripsy. He had developed chronic renal stones in the setting of suprapubic catheter placement for neurogenic bladder. Subsequent recurrent urinary tract infections were managed with trimethoprim-sulfamethoxazole suppressive therapy. Medical history was notable for multiple sclerosis, and diabetes mellitus managed with oral hypoglycemic agents.