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Highlights Encrusted cystitis and pyelitis are rare chronic inflammatory diseases. Commonly caused by the Corynebacterium spp . type D2, which is a gram positive, aerobic, slow-growing, with a multi-antibiotic resistant profile. Glycopeptides are the most effective antibiotics used as a first choice treatment. In some complication as urosepsis, bladder rupture and acute peritonitis could lead to higher mortality. Surgical cystectomy associated with the glycopeptide can be the only relevant cure in those condition.

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Introduction The COVID-19 pandemic has dramatically affected ones well-being. ICU healthcare providers are particularly concerned by this impact which includes physical, mental and socioeconomic repercussions. Others health dimensions could be deeply affected but not well explored such as the psycho-sexual status. Objectives The aim of this study was to assess sexual health status among ICU healthcare providers. Methods This was a cross-sectional study enrolling Tunisian ICU healthcare providers and conducted between July and September 2021. Data collection was based on a self-administrated questionnaire. To assess sexuality, Arabic validated versions of the IIEF-15 and the FSFI was used for male and female respectively. The Fear of COVID-19 Scale and the Rosenberg Self-esteem questionnaire were also used. Results Twenty ICU workers (13 physicians and 7 nurses) were enrolled. The mean age was 28.2 years and the sex ratio was 2.3. All participants were involved in COVID-19 crisis management and 80 % reported an increase in their workload. The mean Rosenberg scale was 27 suggesting a low self-esteem. The mean Covid19 Fear Scale was 26 ± 2. For the IIEF-15 the mean score was 17 ± 3 (moderate erectyl dysfunction) and the most damaged dimension was the intercourse satisfaction. For the FSFI scale, the mean was 23 ± 5 witch (a low sexual dysfunction). A high sexual desire with a lack in the satisfaction dimension was reported in 90% of cases. Only 4 participants have consulted a sexologist. Conclusions COVID-19 has a serious sexual impact in ICU healthcare providers justifying urgent psychological interventions. Disclosure No significant relationships.

Background : Metastatic renal cancer represents 13.3% of all kidney cancers. Lung, bone, lymph nodes and liver are the most common metastatic sites. Incidental discovery of renal tumor disease interests 36% of patients with stage IV. This observation presents a particular circumstance of renal tumor discovery and unusual metastatic sites.Case presentation : We report the case of a 64-year-old woman recently diagnosed with diabetes mellitus. An uro-CT scan had shown a polymetastatic left renal tumor with unusual metastatic sites: parietal pleura, pancreas, and contralateral kidney. The patient underwent a biopsy of the thoracic parietal nodule. The pathology report concluded to the diagnosis of a pleural metastasis from a clear cell renal cell carcinoma (ccRCC). She had a targeted therapy. At the last follow-up dating from 3 months after admission, the patient had altered general condition associated with total hematuria.Conclusions : Parietal pleura, pancreas, and contralateral kidney are rare secondary sites of RCC. The clinical expression of metastatic invasion of the pancreas can rarely fit with diabetes. Metastatic dissemination to these organs is most often associated with an unfavorable prognosis.