Calcium phosphate in catheter encrustation

Br J Urol. 1987 Feb;59(2):159-63. doi: 10.1111/j.1464-410x.1987.tb04810.x.

Abstract

Encrusted catheters from nine female patients were the source of samples of deposits which were examined by X-ray diffraction, atomic absorption spectroscopy, infra-red spectroscopy and extended X-ray absorption fine structure (EXAFS) spectroscopy. In eight samples the only crystalline phase which could be clearly distinguished by X-ray diffraction was ammonium magnesium orthophosphate hexahydrate, NH4MgPO4 X 6H2O, which occurs naturally as the mineral struvite. However, atomic absorption spectroscopy revealed an appreciable concentration of calcium in all samples. Calcium phosphates have previously been detected in catheter deposits. Infra-red and EXAFS spectra were consistent with the calcium phosphate being present as a poorly crystalline hydroxyapatite. Thus the deposits appear to consist of a mixture of crystalline struvite and a form of hydroxyapatite which is not fully crystalline.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Catheters, Indwelling*
  • Crystallization
  • Durapatite
  • Female
  • Humans
  • Hydroxyapatites / analysis*
  • Magnesium / analysis*
  • Magnesium Compounds*
  • Phosphates / analysis*
  • Spectrum Analysis
  • Struvite
  • Urinary Catheterization*

Substances

  • Hydroxyapatites
  • Magnesium Compounds
  • Phosphates
  • Durapatite
  • Struvite
  • Magnesium