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Emphysematous cystitis.

C Perlemoine1, D Neau, J M Ragnaud

  • 1Service de Diabétologie-Nutrition, Hôpital Haut-Lévêque, Avenue Magellan, Pessac, France. caroline.perlemoine@chu-bordeaux.fr

Diabetes & Metabolism
|November 5, 2004
PubMed
Summary
This summary is machine-generated.

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Emphysematous cystitis, a urinary tract infection complication, occurred in a diabetic patient with poor glycemic control. Early diagnosis via abdominal X-ray is crucial for severely ill patients with urinary tract infections.

Area of Science:

  • Urology
  • Infectious Diseases
  • Endocrinology

Background:

  • Emphysematous cystitis is a rare urinary tract infection complication.
  • Diabetic patients with poor glycemic control are at higher risk.
  • Alcoholic chronic pancreatitis can be a contributing comorbidity.

Observation:

  • A 62-year-old woman presented with confusion and vomiting, found to be undernourished and agitated with hepatomegaly.
  • Urinalysis revealed significant leukocytes and Escherichia coli growth.
  • Abdominal plain film and CT scan confirmed gas within the urinary bladder wall.

Findings:

  • The patient was diagnosed with emphysematous cystitis.
  • Treatment included Foley catheterization, antibiotics, insulin, rehydration, vitamin supplementation, and pancreatic enzyme replacement.

Related Experiment Videos

  • The condition is often diagnosed incidentally on imaging due to nonspecific symptoms.

    • Implications:

    • A high index of suspicion is necessary for early diagnosis of emphysematous cystitis.
    • Abdominal X-ray is recommended as a screening tool for severely ill diabetic patients with UTIs.
    • Prompt diagnosis and treatment are essential for improving patient outcomes.