Emphysematous cystitis developed in a patient with an eating disorder and schizophrenia

Ebe, Tsukasa; Oshima, Hisayuki; Takeda, Nobuaki; Matsumoto, Takao

doi:10.1016/s0163-4453(03)00098-7

Cited by 11 publications

(7 citation statements)

References 7 publications

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“…Actually, the prognosis in the case of EC, EP remains good provided that it is diagnosed in time and that an effective treatment is started without any delay. In the event of serious sepsis, the disease can evolve into the complications of EC such as necrosis cystitis, emphysematous pyelonephritis, and despite antibiotic therapy, resuscitation and urine aspiration [5]. …”

Section: Discussionmentioning

confidence: 99%

Emphysematous cystitis and emphysematous pyelitis: a clinically misleading association

et al. 2013

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We present a rare case of emphysematous cystitis associated with an emphysematous pyelonephritis in a diabetic Arab man who was admitted in a confusional state. A 60-year-old man was admitted to the emergency department with confusion and hypogastric mass. The Clinical examination found comatose patient with a mass in the tympanic hypogastric percussion. The pelvic computed tomography (CT) demonstrated intramural gas in the urinarytract, which suggested a diagnosis of emphysematous cystitis and emphysematous pyelitis. The treatment was based on an antibiotics associated with a bladder drainage and diabetes stabilization. The evolution was uneventful. Every diabetic patient with a urinary tract infection who seems to be severely ill should have an abdominal X-ray as a minimal screening tool to detect emphysematous complications. The rarity and the association with an emphysematous pyelitis, which is rarely reported in the literature, are two remarkable characteristics described in this case report.

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Section: Discussionmentioning

confidence: 99%

Emphysematous cystitis and emphysematous pyelitis: a clinically misleading association

et al. 2013

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“…Bacterial fermentation of glucose causes carbon dioxide gas bubbles (13,14). disease include old women, diabetes mellitus, neurogenic bladder, urethral catheter placement, vesicorectal fistula, and outlet obstruction (12)(13)(14)(15)(16)(17)(18)(19)(20), and two factors were present in this case. The prognosis for emphysematous cystitis is favorable as in the present if it is diagnosed promptly and treated properly.…”

Section: Discussionmentioning

confidence: 78%

Emphysematous Cystitis with Venous Bubbles

et al. 2005

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An 86-year-old nondiabetic woman with an episode of transient ischemic attack two days earlier was referred to our hospital. She had a history of neurogenic bladder and chronic atrial fibrillation and had been anuric for two days. Bubbles were detected by echocardiography in the right atrium, right ventricle, and inferior vena cava. Computed tomography revealed gas accumulation in the wall and lumen of the bladder. She recovered after urinary drainage and antibiotic therapy, and bubbles were no longer detected. It was suspected that bacterial injury of the bladder wall and high intravesical pressure led gas to enter the venous system.

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“…7 Emphysematous cystitis is defined by the presence of gas in the urinary bladder walls and often in the bladder lumen due to infection by gas-fermenting organisms. 8 The major risk factors for the disease include old age and female sex, diabetes mellitus, neurogenic bladder and bladder outlet obstruction, although it has also been reported with other pre-existing conditions such as alcoholism, 9 undernutrition 10 or a disabled general medical condition. 11 Our case had poorly controlled diabetes with a neurogenic bladder.…”

Section: Discussionmentioning

confidence: 99%