[Emphysematous cystitis: Report of one case].

Autor: Vera A N, Zwanzger M C, Troncoso C P
Jazyk: Spanish; Castilian
Zdroj: Revista medica de Chile [Rev Med Chil] 2015 Mar; Vol. 143 (3), pp. 387-90.
DOI: 10.4067/S0034-98872015000300015
Abstrakt: Emphysematous cystitis is found in diabetic patients and in individuals with urinary stasis and immunosuppression. We report a 58-year-old male with hypertension, type 2 Diabetes on insulin treatment and central nervous system vasculitis on immunosuppressive therapy. He was admitted with weight loss and gait instability. A PET-CT showed a circumscribed image of air in the bladder contour without involving the upper urinary tract, suggesting emphysematous cystitis. Re-interrogated, the patient referred pneumaturia, dysuria and febrile sensation one week before admission. Urine culture showed Enterobacter aerogenes. He was treated with a urinary catheter, metabolic control and parenteral antimicrobials. The patient was discharged without symptoms 21 days after admission, with the bladder catheter.
Databáze: MEDLINE