Emphysematous Cystitis in a Patient with Type 2 Diabetes Mellitus

• Toyota Noriko

• Ogawa Daisuke

• Ishii Keita

• Hirata Kyoji

• Wada Jun

• Shikata Kenichi

• Makino Hirofumi

抄録

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.

収録刊行物

• Acta Medica Okayama

  Acta Medica Okayama 65 (2), 129-133, 2011-04

  Okayama University Medical School

キーワード

• computed tomography
• diabetes mellitus
• emphysematous cystitis

詳細情報

• CRID: 1390853649749710464
• NII論文ID: 120002970772
• NII書誌ID: AA00508441
• ISSN: 0386300X
• DOI: 10.18926/amo/45272
• PubMed: 21519371
• Web Site: https://ousar.lib.okayama-u.ac.jp/45272
• Web Site: https://search.jamas.or.jp/link/ui/2012046221
• 本文言語コード: en
• データソース種別:
  • JaLC
  • IRDB
  • PubMed
  • CiNii Articles