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Clostridium perfringens emphysematous cystitis

D S Katz1, E Aksoy, B A Cunha

  • 1Department of Medicine, Winthrop-University Hospital, Mineola, New York.

Urology
|May 1, 1993
PubMed
Summary
This summary is machine-generated.

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Emphysematous cystitis, a rare bladder condition, is typically caused by aerobic bacteria. This case highlights a rare instance of emphysematous cystitis linked to anaerobic bacteria, Clostridium perfringens, in an elderly diabetic patient.

Area of Science:

  • Urology
  • Infectious Diseases
  • Microbiology

Background:

  • Emphysematous cystitis is a rare, acute bladder inflammation characterized by gas formation within the bladder wall.
  • It is predominantly associated with aerobic bacterial infections, with Escherichia coli being the most common pathogen.
  • Anaerobic bacterial involvement in emphysematous cystitis is exceptionally uncommon.

Observation:

  • A case of emphysematous cystitis was observed in an elderly female patient with diabetes mellitus.
  • The patient presented with symptoms indicative of a urinary tract infection and gas in the bladder wall.
  • Blood cultures revealed the presence of bacteremia.

Findings:

  • The causative agent identified was Clostridium perfringens, an anaerobic bacterium.

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  • This represents a rare instance of anaerobic bacteria, specifically Clostridium perfringens, leading to emphysematous cystitis.
  • The presence of bacteremia indicates a systemic spread of the infection.

    • Implications:

    • This case underscores the importance of considering anaerobic pathogens in atypical presentations of emphysematous cystitis, particularly in immunocompromised individuals like diabetics.
    • Accurate identification of the causative agent is crucial for appropriate antibiotic selection and management.
    • Further research may be warranted to understand the specific factors contributing to anaerobic bacterial infections in emphysematous cystitis.