Emphysematous cystitis

The Case ∣ An elderly diabetic man with urinary tract infection

“…The most sensitive method of diagnosis is abdominal and pelvic computed tomography. 1,2 The plain abdomen, in this case, showed gas bubbles in the bladder wall (Figure 1). Computed tomography confirmed multiple gas pockets along the bladder wall (Figure 2).…”

“…1 The risk factors for emphysematous cystitis are diabetes mellitus, neurogenic bladder, bladder outlet obstruction, in-dwelling catheters, chronic urinary tract infection, and immunosuppression. 2 The most common pathogens are gas-forming organisms such as Escherichia coli or Klebsiella pneumoniae, but non-gasforming organisms such as Enterococci can be associated with these diseases. 1 As clinical symptoms may be of no help in making a diagnosis, appropriate diagnostic imaging is important.…”

Emphysematous Cystitis: A Rare Cause of Gross Hematuria

“…After diagnosis of emphysematous cystitis, admission for adequate parenteral antibiotic therapy, strict blood glucose control, adequate drainage of urine, and early goal-directed therapy for septic patients are suggested to prevent further complications such as septic shock or emphysematous pyelonephritis and emphysematous pyelitis (3,6,9,15).…”

Emphysematous cystitis: a case report

“…The microorganisms most often involved in this infection are Escherichia coli and Klebsiella pneumonia and the less common are Enterobacter, Proteus, Streptococci and Candida [3]. Despite being the bacteria the most common agent, the funguses may also be responsible for this clinical picture [4].…”