Emphysematous Cystitis: Report of an Atypical Case
We report the atypical case of a nondiabetic 66-year old male with severe abdominal pain and vomiting who was found to have emphysematous cystitis. Of all gas-forming infections of the urinary tract emphysematous cystitis is the most common and the least severe. The major risk factors are diabetes m...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2011/280426 |
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| _version_ | 1832555486029807616 |
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| author | Karen De Baets Joost Baert Luc Coene Marc Claessens Robert Hente Geert Tailly |
| author_facet | Karen De Baets Joost Baert Luc Coene Marc Claessens Robert Hente Geert Tailly |
| author_sort | Karen De Baets |
| collection | DOAJ |
| description | We report the atypical case of a nondiabetic 66-year old male with severe abdominal pain and vomiting who was found to have emphysematous cystitis. Of all gas-forming infections of the urinary tract emphysematous cystitis is the most common and the least severe. The major risk factors are diabetes mellitus and urinary tract obstruction. Most frequent causative pathogens are Escherichia coli and Klebsiella pneumoniae. The clinical presentation is nonspecific and ranges from asymptomatic urinary tract infection to urosepsis and septic shock. The diagnosis is made by abdominal imaging. Treatment consists of broad-spectrum antibiotics, bladder drainage, and management of the risk factors. Surgery is reserved for severe cases. Overall mortality rate of emphysematous cystitis is 7%. Immediate diagnosis and treatment is necessary because of the rapid progression to bladder necrosis, emphysematous pyelonephritis, urosepsis, and possibly fatal evolution. |
| format | Article |
| id | doaj-art-a91587a2e5de444e80d76c11bf9d5dc8 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-a91587a2e5de444e80d76c11bf9d5dc82025-02-03T05:48:08ZengWileyCase Reports in Urology2090-696X2090-69782011-01-01201110.1155/2011/280426280426Emphysematous Cystitis: Report of an Atypical CaseKaren De Baets0Joost Baert1Luc Coene2Marc Claessens3Robert Hente4Geert Tailly5Department of Surgery, AZ KLINA, 2930 Brasschaat, BelgiumDepartment of Urology, AZ KLINA, Augustijnslei 100, 2930 Brasschaat, BelgiumDepartment of Surgery, AZ KLINA, 2930 Brasschaat, BelgiumDepartment of Urology, AZ KLINA, Augustijnslei 100, 2930 Brasschaat, BelgiumDepartment of Urology, AZ KLINA, Augustijnslei 100, 2930 Brasschaat, BelgiumDepartment of Urology, AZ KLINA, Augustijnslei 100, 2930 Brasschaat, BelgiumWe report the atypical case of a nondiabetic 66-year old male with severe abdominal pain and vomiting who was found to have emphysematous cystitis. Of all gas-forming infections of the urinary tract emphysematous cystitis is the most common and the least severe. The major risk factors are diabetes mellitus and urinary tract obstruction. Most frequent causative pathogens are Escherichia coli and Klebsiella pneumoniae. The clinical presentation is nonspecific and ranges from asymptomatic urinary tract infection to urosepsis and septic shock. The diagnosis is made by abdominal imaging. Treatment consists of broad-spectrum antibiotics, bladder drainage, and management of the risk factors. Surgery is reserved for severe cases. Overall mortality rate of emphysematous cystitis is 7%. Immediate diagnosis and treatment is necessary because of the rapid progression to bladder necrosis, emphysematous pyelonephritis, urosepsis, and possibly fatal evolution.http://dx.doi.org/10.1155/2011/280426 |
| spellingShingle | Karen De Baets Joost Baert Luc Coene Marc Claessens Robert Hente Geert Tailly Emphysematous Cystitis: Report of an Atypical Case Case Reports in Urology |
| title | Emphysematous Cystitis: Report of an Atypical Case |
| title_full | Emphysematous Cystitis: Report of an Atypical Case |
| title_fullStr | Emphysematous Cystitis: Report of an Atypical Case |
| title_full_unstemmed | Emphysematous Cystitis: Report of an Atypical Case |
| title_short | Emphysematous Cystitis: Report of an Atypical Case |
| title_sort | emphysematous cystitis report of an atypical case |
| url | http://dx.doi.org/10.1155/2011/280426 |
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