Gas-forming infections in genitourinary tract

Patel, Natvarlal P.; Lavengood, Russell W.; Fernandes, Manuel; Ward, Jonathan B.; Walzak, Myron P.

doi:10.1016/0090-4295(92)90210-n

Cited by 72 publications

(30 citation statements)

References 6 publications

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“…But Gram-negative facultative anaerobes can also produce gas by fermenting glucose in necrotic tissues. The reported etiologic microorganisms in gas-forming infections of the genitourinary tract include Escherichia coli, Klebsiella species, Proteus mirabilis, Citrobacter species, and yeasts (10). In the present case we can assume that K. pneumoniae cultured on from the initial urine specimen had produced the gas in the prostate and bladder (10).…”

Section: Discussionmentioning

confidence: 62%

“…The reported etiologic microorganisms in gas-forming infections of the genitourinary tract include Escherichia coli, Klebsiella species, Proteus mirabilis, Citrobacter species, and yeasts (10). In the present case we can assume that K. pneumoniae cultured on from the initial urine specimen had produced the gas in the prostate and bladder (10). The reported etiologic microorganisms of emphysematous prostatic abscess include K. pneumoniae (1,3), Pseudomonas aeruginosa (2), Bacteroides fragilis (2), and Candida albicans (4).…”

Section: Discussionmentioning

confidence: 99%

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Emphysematous Prostatic Abscess Due toKlebsiella pneumoniae: Report of a Case And Review of the Literature

et al. 2003

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Emphysematous prostatic abscess is a very rare form of prostatitis. Emphysematous prostatic abscess due to Klebsiella pneumoniae may have a poor prognosis according to a few previous reports. We report a rare case of successfully treated emphysematous prostatic abscess with cystitis due to Klebsiella pneumoniae in a 50-yr-old man with 15-yr history of diabetes mellitus. The patient was referred to the emergency room of our hospital. The KUB film revealed gas shadows in the lower pelvic area suggestive of emphysematous cystitis or emphysematous prostatic abscess. The gas was mainly occupying the prostate and was also seen in the bladder on pelvic CT. The patient was successfully treated with long-term antibiotic use and additional percutaneous drainage of the abscess. Emphysematous prostatic abscess may be misdiagnosed as emphysematous cystitis due to the similar location of gas shadows on radiography. Computerized tomography and transrectal ultrasonography are helpful in making the diagnosis of emphysematous prostatic abscess. Appropriate use of effective antibiotics with drainage of pus is the best treatment. This case emphasizes the importance of timely and accurate diagnosis followed by appropriate treatment in emphysematous prostatic abscess in diabetic patients.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Emphysematous Prostatic Abscess Due toKlebsiella pneumoniae: Report of a Case And Review of the Literature

et al. 2003

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“…Los síntomas de presentación más frecuentes son fiebre, dolor abdominal y en flanco y piuria, síntomas similares a una pielonefritis aguda (1,2,8). Sin embargo, letargia y confusión, shock, disminución de la función renal y trombocitopenia, pueden ser la presentación inicial, especialmente en las formas severas (1,2).…”

Section: Discussionunclassified

Pielonefritis enfisematosa: Reporte de dos casos y revisión de la literatura.

Valoy¹,

Holguin²,

Pinedo³

et al. 2012

Rev Med Hered

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. RESUMENPresentamos dos pacientes mujeres diabéticas con Pielonefritis enfisematosa bilateral atendidas en nuestro hospital. Ambas tenían más de 50 años de edad. El diagnóstico se realizó por la presencia de gas a nivel de ambos riñones, en la tomografía axial computarizada (TAC) abdominal. Una de las pacientes fue sometida a nefrectomía bilateral y la otra a nefrectomía derecha. Ambas pacientes tuvieron mala evolución pese al tratamiento antibiótico y quirúrgico. Debido a su alta mortalidad hacemos énfasis en el diagnóstico y tratamiento precoz. (Rev Med Hered 2007;18:212-217). PALABRAS CLAVE: Pielonefritis enfisematosa, diabetes, infección urinaria, insuficiencia renal SUMMARYWe report two diabetic women over 50 years old with bilateral emphysematous pyelonephritis attended in our hospital. Diagnosis was confirmed by the presence of gas in the renal parenchyma on abdominal CT scan. Bilateral nephrectomy was performed in one patient and right nephrectomy in the other one. Both cases had unfavourable evolution despite surgical treatment and antibiotic therapy. Due to its high mortality we make emphasis in the diagnosis and precocious treatment. (Rev Med Hered 2007;18:212-217).

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“…Está asociada, en general, a pacientes de sexo femenino, diabéticos, inmunosuprimidos, con infección urinaria recurrente y ectasia urinaria 1,2 . Hasta la fecha, existen escasas publicaciones en la literatura internacional y ninguna a nivel nacional respecto a esta enfermedad.…”

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Cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajo

C³

2015

Rev. méd. Chile

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Gas-forming infections in genitourinary tract

Cited by 72 publications

References 6 publications

Emphysematous Prostatic Abscess Due toKlebsiella pneumoniae: Report of a Case And Review of the Literature

Emphysematous Prostatic Abscess Due toKlebsiella pneumoniae: Report of a Case And Review of the Literature

Pielonefritis enfisematosa: Reporte de dos casos y revisión de la literatura.

Cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajo

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