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Emphysematous cystitis, a serious urinary tract infection: A surgery case report
Salim Ouskri1, Ahmed Ibrahimi1, Youssef Zaoui1
1IBN sina universitary hospital, Morocco.
International Journal of Surgery Case Reports
|October 22, 2024
Summary
Emphysematous cystitis, a severe urinary infection, requires prompt diagnosis and treatment, especially in diabetic patients. Effective management involves antibiotics and addressing underlying risk factors like glycemic control.
Area of Science:
- Urology
- Infectious Diseases
- Endocrinology
Background:
- Emphysematous cystitis is a rare, serious urinary tract infection characterized by gas in the bladder.
- It predominantly affects elderly women with diabetes, a condition linked to neurogenic bladders and urinary stasis.
Observation:
- A 55-year-old woman with type 1 diabetes presented with confusion, lumbar pain, and urinary symptoms.
- Imaging confirmed extensive emphysema, and laboratory tests showed elevated inflammatory markers.
Findings:
- Prompt urinary drainage and empirical antibiotics (Ceftriaxone, metronidazole, amikacin) targeting Klebsiella pneumoniae led to clinical improvement.
- Computed tomography is the gold standard for diagnosing emphysematous cystitis, which can present with varied symptoms.
Implications:
- Successful treatment necessitates addressing risk factors, particularly emphasizing glycemic control in diabetic patients.
- Timely diagnosis and comprehensive management, including tailored antibiotic therapy, are crucial for a favorable prognosis in emphysematous cystitis.
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