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Emphysematous cystitis with diabetic neurogenic bladder
Kazuya Yoshida1, Koji Murao, Nobuo Fukuda
1Department of Internal Medicine and Clinical Research, Zentsuji National Hospital, Japan. kyoshida@jun.ncvc.go.jp
Internal Medicine (Tokyo, Japan)
|September 9, 2010
Summary
Emphysematous cystitis, a rare bladder infection, occurred in a diabetic patient with neurogenic bladder. Prompt treatment with antibiotics and insulin resolved the condition.
Area of Science:
- Urology
- Infectious Diseases
- Diabetology
Background:
- Diabetic patients are susceptible to urinary tract infections due to impaired immune function and neurogenic bladder.
- Emphysematous cystitis is a severe bladder infection characterized by gas formation within the bladder wall.
Observation:
- A 62-year-old female with diabetes presented with fever, abdominal pain, and urinary abnormalities.
- Imaging revealed gas in the bladder wall, and urine culture identified Escherichia coli.
Findings:
- The patient was diagnosed with emphysematous cystitis secondary to a diabetic neurogenic bladder.
- Absence of urine output and residual urine confirmed bladder dysfunction.
Implications:
- This case highlights the importance of recognizing emphysematous cystitis in diabetic patients with urinary symptoms.
- Effective management involves antibiotics, glycemic control, and addressing bladder dysfunction.
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