Related Experiment Video
Updated: May 1, 2026
08:53
Recurrent Escherichia coli Urinary Tract Infection Triggered by Gardnerella vaginalis Bladder Exposure in Mice
Published on: December 4, 2020
7.8K
Emphysematous cystitis: An atypical multi-organism presentation
Derek Bos1, Premal Patel2, Premal Patal
1Northern Ontario School of Medicine, Greater Sudbury, ON;
Summary
Emphysematous cystitis, a serious bladder condition, presents with abdominal pain and blood in urine, particularly in elderly diabetic women. Early detection and treatment are crucial for managing this potentially fatal infection.
Area of Science:
- Urology
- Infectious Diseases
- Diabetology
Background:
- Emphysematous cystitis is a rare, severe bladder infection characterized by gas in the bladder wall.
- It predominantly affects elderly diabetic females, often presenting with vague symptoms.
- Prompt diagnosis and treatment are critical due to its potentially fatal nature.
Purpose of the Study:
- To report a case of emphysematous cystitis in an elderly diabetic female patient.
- To highlight the atypical multi-organism presentation and diagnostic findings.
- To emphasize the importance of timely intervention.
Main Methods:
- Case presentation of an 84-year-old female with stroke management.
- Clinical examination revealing suprapubic tenderness and tympanic bladder.
- Computed tomography (CT) scan for imaging bladder distension and gas foci.
- Microbiological analysis identifying Klebsiella pneumoniae and Enterococcus species.
Main Results:
- The patient presented with lower abdominal pain, urge incontinence, and gross hematuria.
- CT scan confirmed a distended bladder with gas delineating the bladder wall.
- Microbiology revealed an unusual co-infection with Klebsiella pneumoniae and Enterococcus species.
Conclusions:
- Emphysematous cystitis requires prompt recognition and management, especially in at-risk populations.
- While Escherichia coli and Klebsiella pneumoniae are common, atypical organisms like Enterococcus can also be involved.
- This case underscores the need for vigilance in diagnosing and treating this potentially life-threatening condition.
Related Concept Videos
01:14Atypical Pneumonia
84
Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease...
84
01:25Urinary Tract Infection II: Pathophysiology
1.5K
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
1.5K
01:26Urinary Tract Infection I: Introduction
1.3K
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
1.3K
01:27Acute Pyelonephritis I: Introduction
1.5K
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
1.5K
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
842
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
842
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
434
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
434