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Emphysematous cystitis treated with targeted antibiotic therapies: a report of two cases
Quanbo Yu1, Yanhui Wang2, Xinqi Zhang2
1Department of Hand Surgery, The 960th Hospital of the PLA Joint Logistics Support Force, Jinan, Shandong, China.
Abstract:
Emphysematous cystitis (EC) is a rare, complicated urinary tract infection characterized by gas formation in and around the bladder wall, often occurring in older adults with diabetes mellitus, urinary tract obstruction, or long-term indwelling urinary catheters. EC can be easily misdiagnosed due to atypical symptoms and signs. Delayed treatment causes life-threatening complications like emphysematous pyelonephritis, bladder perforation, or septic shock. Here, we retrospectively analyzed two cases of EC who had been effectively treated and discharged following antibiotics, strict blood sugar control, bladder irrigation, and symptomatic and supportive treatment. Through literature review, we summarized the clinical characteristics, diagnostic skills, and therapeutic strategies for EC. Our experience may inform the early diagnosis and standardized management to improve the prognosis of EC.
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