Enterococcus faecium related emphysematous cystitis and bladder rupture

Viswanathan, Stalin; Rp, Rajan; Iqbal, Nadeem; Subramani, Jagadeesan; Muthu,

doi:10.4066/amj.2012.1416

Cited by 8 publications

(10 citation statements)

References 6 publications

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“…Die klinische Präsentation der betroffenen Patienten ist variabel und reicht von Zufallsbefunden [7,8] bis zur Sepsis und Blasenruptur [3,9]. Weltweit sind schät-zungsweise weniger als 250 Fälle mit EZ beschrieben [1,8,9], wobei die Mortalitätsrate zwischen 3 und 12 % liegt [1]. Überwiegend sind Frauen im Alter von 60-70 Jahren mit Diabetes mellitus betroffen [1].…”

Section: Diskussionunclassified

“…Die Glucose wird hierbei zur Kohlendioxid fermentiert, welches sich als freie Luft in der radiologischen Bildgebung präsentiert [4,8]. Jedoch können auch junge Patienten ohne Komorbiditäten [9], männliche Patienten, als auch Patienten ohne Hyperglykä-mie oder Diabetes mellitus eine EZ entwickeln [1,8]. Die Pathogenese der Gasbildung ohne Glucosurie ist nicht eindeutig geklärt, jedoch scheinen eine multifaktorielle Genese mit begleitender Proteinfermentation und konsekutive Gasbildung am wahrscheinlichsten [5,8].…”

Section: Diskussionunclassified

“…Die chirurgischen Interventionen umfassen die Zystektomie, partielle Zystektomie oder die Kombination der Verfahren mit einer Nephrektomie bei begleitender emphysematöser Pyelonephritis [3,8]. Die Indikation zur Zystektomie wurde in diesen Fällen aufgrund von Progression mit Entwicklung einer nekrotisierenden Infektion gestellt [8,9]. Um schwere Komplikationen zu vermeiden, sind eine frühe Diagnose und rigoroses Therapiemanagement essenziell [8].…”

Section: Diskussionunclassified

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Emphysematöse Zystitis

Hüsch

Rheinboldt

Thalhammer

et al. 2016

Urologe

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Emphysematous cystitis is a rare disease with a high mortality rate. Generally elderly women with diabetes mellitus are affected. Diagnosis is made radiologically using plain abdominal X‑ray or computed tomography. The therapy includes urine drainage, antibiotic treatment and hyperglycaemic control to avoid progress of the infection and the development of complications. In the current report we present a case of a 79-year-old woman with uncontrolled diabetes mellitus and an incidental diagnosis of emphysematous cystitis.

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Section: Diskussionunclassified

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Emphysematöse Zystitis

Hüsch

Rheinboldt

Thalhammer

et al. 2016

Urologe

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“…Since a review in 1934 of 209 cases, only 30 cases have been reported in the literature [1]. Diagnosis is often delayed due to the nonspecifi c symptoms such as fever, pain abdomen, and sepsis with features of peritonitis [2][3][4]. These factors contribute to the high morbidity and mortality of 35% [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Diagnosis is often delayed due to the nonspecifi c symptoms such as fever, pain abdomen, and sepsis with features of peritonitis [2][3][4]. These factors contribute to the high morbidity and mortality of 35% [2][3][4]. Different direct and indirect factors have been implicated in the pathogenesis [5].…”

Section: Introductionmentioning

confidence: 99%

Case report of gangrenous cystitis in a post-partum female

Jha¹,

Dhoj²,

Kumar³

2019

Arch Urol Res

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Background: Gangrenous cystitis is an extremely rare condition with very few cases reported in literature. Diagnosis is often delayed due to the nonspecifi c symptoms. A multidisciplinary team approach and surgical debridement is usually required for management. Case presentation: This case reports a 27 year old female who developed gangrenous cystitis postpartum. She was managed with partial cystectomy and primary closure of urinary bladder. Conclusion: Gangrenous cystitis is a condition with high morbidity and mortality. A high index of suspicion is necessary for diagnosis.

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Extension of gas into the abdominal wall secondary to recurrent coliform emphysematous cystitis in a diabetic dog

Humphreys

Barton

Batchelor

et al. 2021

Vet Record Case Reports

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Emphysematous cystitis (EC) is a complicated lower urinary tract condition characterised by gas within the urinary bladder wall and lumen. It results from infection by gas‐producing microorganisms and has been reported in both diabetic and non‐diabetic dogs and cats with variable presentation. There are two case reports from the medical literature documenting subcutaneous extension of gas in people with EC, but this finding has never been reported in a veterinary patient. In this case, we identified abdominal wall emphysema as a complication of EC in a veterinary patient, secondary to recurrent urinary tract infection with Escherichia coli in a 10‐year‐old neutered female border collie with diabetes mellitus. Both radiography and ultrasonography were sensitive for the diagnosis of this condition and important in excluding retrograde extension of gas into the renal parenchyma.

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Enterococcus faecium related emphysematous cystitis and bladder rupture

Cited by 8 publications

References 6 publications

Emphysematöse Zystitis

Emphysematöse Zystitis

Case report of gangrenous cystitis in a post-partum female

Extension of gas into the abdominal wall secondary to recurrent coliform emphysematous cystitis in a diabetic dog

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