Chávez-Valencia V, Orizaga-de la Cruz C

Language: Spanish
References: 8
Page: 474-477
PDF size: 515.56 Kb.

ABSTRACT

We report the case of 63-year-old woman, on haemodyalisis with emphysematous cystitis. She was a diabetic patient. She complained of urinary symptoms and pneumaturia, but without fever. Urine culture showed growth of Klebsiella pneumonia. A computed tomography scan was suggestive of emphysematous cystitis. Emphysematous cystitis is a rare clinically entity, predisposing factor include diabetes mellitus and end stage renal disease. A conservative treatment approach using antibiotic therapy, bladder catheterization and strict glycemic control is generally successful.

REFERENCES

1. Harding G, Zhanel GG, Nicolle LE, Cheang M, Math M. For the Manitoba Diabetes Urinary Tract Infection Study Group. Antimicrobial treatment in diabetic women with asymptomatic bacteriuria. N Engl J Med 2002;347:1576- 1583.

2. Romero González R. Infección del aparato urinario. En: Nefrología Clínica. Hernando Avendaño L, Alijama García P, Arias Rodríguez M, Caramelo Díaz C, Egido de los Ríos J, Lamas Peláez S, editores. 3ª ed. Madrid: Panamericana, 2009;529-543.

3. Hueper W. Cystitis emphysematous. Ann J Pathol 1926;2:159-166.

4. Amendola MA, Munuera F, Cassillas J. Próstata, vesículas seminales. En: Diagnóstico por imagen. Tratado de Radiología Clínica. Volumen II. Pedrosa CS, Casanova Gómez R, editores. 2ª ed. Madrid: McGraw-Hill Interamericana, 2001;1010-1011.

5. Srinivasan S, Teh HS, Clarke MJ. Clinics in diagnostic imaging (138). Emphysematous pyelitis. Singapore Med J 2012;53:214-217.

6. Toyota N, Ogawa D, Ishii K, Hirata K, et al. Emphysematous cystitis in a patient with type 2 diabetes mellitus. Acta Med Okayama 2011;65:129-133.

7. Thomas AA, Lane BR, Thomas AZ, Remer EM, et al. Emphysematous cystitis. A review of 135 cases. BJU Int 2007;100:17-20.

8. American Diabetes Association. Standards of Medical Care in Diabetes 2013. Diabetes Care 2013;36:S11-S66.