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A 76 year old woman reports recurrent urinary frequency, dysuria, and malodorous urine. No bacterial growth has been identified on two midstream urine samples, though empirical treatment with antibiotics has improved her symptoms. After three months, an episode of visible haematuria prompts referral and a transitional cell carcinoma of the bladder is diagnosed.

More information

Publisher

BMJ

Publication Date

31/03/2014

Addresses

brian.nicholson@phc.ox.ac.uk