Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

23 December 2011

Emphysematous Cystitis: An unusual lower urinary tract infection presenting as gross painless hematuria

Mehandar Kumar, Vanessa Mae Abrina

DOI: 10.12659/AJCR.882206

Am J Case Rep 2011; 12:195-197

Abstract

Background: Emphysematous cystitis is a rare infection of the lower urinary tract characterized by gas pockets in the urinary bladder. E. coli is the most common causative organism, followed by Klebsiella and Enterobacter. It commonly occurs in old age patients with comorbidities, such as DM, bladder outlet obstruction, and immunosuppression. The symptoms include abdominal pain, dysuria, urgency, urinary frequency, hematuria, fever and rarely pneumaturia. It is usually diagnosed on CT abdomen and treated with IV antibiotics.
Case Report: This is a case of 69 years old Hispanic male with past medical history of uncontrolled diabetes mellitus, colorectal carcinoma s/p hemicolectomy and colostomy, recently diagnosed with brain and lung metastasis. The patient was admitted secondary to hematuria of one day duration without any fever, abdominal pain, dysuria, urgency or urinary frequency. Vital signs were stable and systemic examination was unremarkable. CT of the abdomen/pelvis showed gas pockets in bladder wall. He was treated with IV piperacillin/tazobactam.
Conclusions: The patient with emphysematous cystitis presents similar to one with simple UTI. A high index of suspicion is needed to diagnose this infection in an old patient with multiple comorbidities, as this is a very lethal condition if not recognized and treated early with IV antibiotics.

Keywords: emphysematous cystitis, Rare lower urinary tract infection, Hematuria

0 Comments

SARS-CoV-2/COVID-19

30 November 2022 : Case report  Gabon

Severe COVID-19 in 2 Kidney Transplant Patients in Gabon

Am J Case Rep In Press; DOI: 10.12659/AJCR.938003  

23 November 2022 : Case report  Grenada

Mepolizumab as a Potential Protective Factor of COVID-19 Mortality: A Case Report of Chronic Bronchitis and...

Am J Case Rep In Press; DOI: 10.12659/AJCR.938450  

In Press

02 Dec 2022 : Case report  Portugal

A 54-Year-Old Woman with Papillary Thyroid Carcinoma Associated with Secondary Amyloid Goiter and Thyroid L...

Am J Case Rep In Press; DOI: 10.12659/AJCR.938156  

02 Dec 2022 : Case report  Saudi Arabia

A 14-Year-Old Saudi Boy with Gynecomastia, Cushing Syndrome, Large-Cell Calcifying Sertoli Cell Tumor of th...

Am J Case Rep In Press; DOI: 10.12659/AJCR.937404  

01 Dec 2022 : Case report  China (mainland)

Ureterolithiasis in Human Immunodeficiency Virus (HIV) Patients Treated with Single-Use Ureteroscope: A Cas...

Am J Case Rep In Press; DOI: 10.12659/AJCR.938608  

01 Dec 2022 : Case report  Saudi Arabia

Ancient Schwannoma: Case Report of an Unusual Entity in an Unusual Oral Location

Am J Case Rep In Press; DOI: 10.12659/AJCR.938335  

Most Viewed Current Articles

13 Jul 2022 : Case report  USA

Whistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound

DOI :10.12659/AJCR.936441

Am J Case Rep 2022; 23:e936441

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

06 Dec 2021 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

17 Feb 2022 : Case report  Oman

Myocarditis, Pulmonary Hemorrhage, and Extensive Myositis with Rhabdomyolysis 12 Days After First Dose of P...

DOI :10.12659/AJCR.934399

Am J Case Rep 2022; 23:e934399

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923