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[Emphysematous cystitis: apropos of 2 cases]
Summary
Emphysematous cystitis, a rare urinary tract infection, often has a poor prognosis due to unknown causes. Early diagnosis and prompt treatment, including bladder drainage and antibiotics, improve outcomes for patients with this condition.
Area of Science:
- Urology
- Infectious Diseases
Background:
- Emphysematous cystitis is a rare, serious lower urinary tract infection.
- Its pathophysiology remains poorly understood, contributing to treatment failures.
Observation:
- Two cases in diabetic men over 70 with prostatism presented with urinary retention, systemic illness, and fever.
- Klebsiella pneumoniae was isolated from urine cultures in both patients.
Findings:
- Treatment involved bladder drainage, appropriate antibiotics, and diabetes management.
- Subsequent surgical interventions included suprapubic prostatectomy and transurethral prostatic resection.
Implications:
- Early diagnosis and rapid, effective treatment are crucial for improving prognosis.
- Understanding pathophysiological mechanisms is key to reducing treatment failures in emphysematous cystitis.