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[Emphysematous cystitis].

T Hüsch1, V Rheinboldt2, A Thalhammer3

  • 1Klinik für Urologie und Kinderurologie, Universitätsklinikum Frankfurt, Frankfurt, Deutschland. tanja.huesch@kgu.de.

Der Urologe. Ausg. A
|April 28, 2016
PubMed
Summary
This summary is machine-generated.

Emphysematous cystitis, a rare condition, often affects elderly women with diabetes. Prompt diagnosis via imaging and treatment including antibiotics and blood sugar control are crucial for managing this severe infection.

Keywords:
Diabetes mellitusEmphysemaHyperglycemiaPneumaturiaUrinary tract infection

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Area of Science:

  • Urology
  • Infectious Diseases
  • Endocrinology

Background:

  • Emphysematous cystitis is a rare, severe bladder infection characterized by gas formation within the bladder wall.
  • It predominantly affects elderly women, particularly those with diabetes mellitus, a condition associated with increased infection risk.
  • The disease carries a high mortality rate if not promptly diagnosed and treated.

Observation:

  • This report details a case of a 79-year-old woman incidentally diagnosed with emphysematous cystitis.
  • The patient presented with uncontrolled diabetes mellitus, a known risk factor for this condition.
  • Radiological imaging, likely computed tomography or X-ray, facilitated the diagnosis.

Findings:

  • Diagnosis of emphysematous cystitis relies on characteristic radiological findings.
  • The presence of gas within the bladder wall is a key diagnostic indicator.
  • Uncontrolled diabetes mellitus is a significant predisposing factor.

Implications:

  • Early diagnosis through appropriate imaging is critical for effective management.
  • Treatment strategies involve urine drainage, antibiotic therapy, and strict glycemic control.
  • Aggressive management is essential to prevent complications and reduce the high mortality associated with emphysematous cystitis.