Emphysematous cystitis in a patient with Type 2 diabetes mellitus

Noriko Toyota, Daisuke Ogawa, Keita Ishii, Kyoji Hirata, Jun Wada, Kenichi Shikata, Hirofumi Makino

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

A 62-year-old woman with a history of poorly controlled type 2 diabetes mellitus was admitted to our hospital with a 3-week history of mild fever, vomiting, and anorexia. Abdominal computed tomography (CT) showed bilateral hydronephrosis and gas accumulation in the urinary bladder wall and left ureter. Laboratory tests showed leukocytosis and elevated C-reactive protein level. Urine culture showed heavy growth of Escherichia coli. The final diagnosis was emphysematous cystitis. The patient was treated with systemic antibiotics and drainage using a urethral catheter. The clinical and radiographic findings resolved rapidly, and she was discharged from the hospital on day 28. Emphysematous cystitis is a relatively rare urinary tract infection associated with gas formation, and has the potential for a serious outcome if untreated. Early detection by imaging studies such as CT is important in providing prompt treatment and favorable clinical outcome.

Original languageEnglish
Pages (from-to)129-133
Number of pages5
JournalActa Medica Okayama
Volume65
Issue number2
Publication statusPublished - 2011

Fingerprint

Cystitis
Medical problems
Type 2 Diabetes Mellitus
Tomography
Gases
Urinary Catheters
Hydronephrosis
Catheters
Leukocytosis
Anorexia
Ureter
Urinary Tract Infections
C-Reactive Protein
Escherichia coli
Drainage
Vomiting
Urinary Bladder
Fever
Urine
Anti-Bacterial Agents

Keywords

  • Computed tomography
  • Diabetes mellitus
  • Emphysematous cystitis

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Emphysematous cystitis in a patient with Type 2 diabetes mellitus. / Toyota, Noriko; Ogawa, Daisuke; Ishii, Keita; Hirata, Kyoji; Wada, Jun; Shikata, Kenichi; Makino, Hirofumi.

In: Acta Medica Okayama, Vol. 65, No. 2, 2011, p. 129-133.

Research output: Contribution to journalArticle

Toyota, N, Ogawa, D, Ishii, K, Hirata, K, Wada, J, Shikata, K & Makino, H 2011, 'Emphysematous cystitis in a patient with Type 2 diabetes mellitus', Acta Medica Okayama, vol. 65, no. 2, pp. 129-133.
Toyota, Noriko ; Ogawa, Daisuke ; Ishii, Keita ; Hirata, Kyoji ; Wada, Jun ; Shikata, Kenichi ; Makino, Hirofumi. / Emphysematous cystitis in a patient with Type 2 diabetes mellitus. In: Acta Medica Okayama. 2011 ; Vol. 65, No. 2. pp. 129-133.
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