Emphysematous cystitis: a complication of urinary tract infection occurring predominantly in diabetic women

Ann Emerg Med. 1990 Apr;19(4):404-6. doi: 10.1016/s0196-0644(05)82347-9.

Abstract

The case of a patient with emphysematous cystitis who presented with complaints of lower abdominal pain, dysuria, and pneumaturia is presented. The presenting symptoms, differential diagnosis, and radiographic and cystoscopic appearances of emphysematous cystitis, a rare complication of lower urinary tract infection occurring almost exclusively in diabetics, are reviewed. Treatment consists of urinary drainage, prompt initiation of antibiotic therapy, and strict glucose control. The prognosis usually is excellent.

Publication types

  • Case Reports

MeSH terms

  • Combined Modality Therapy
  • Cystitis / diagnosis*
  • Cystitis / etiology
  • Cystitis / therapy
  • Cystitis / urine
  • Diabetes Mellitus, Type 1 / complications*
  • Diagnosis, Differential
  • Emergencies
  • Emphysema / diagnosis*
  • Emphysema / etiology
  • Emphysema / therapy
  • Emphysema / urine
  • Female
  • Humans
  • Klebsiella Infections / complications*
  • Klebsiella Infections / diagnosis
  • Klebsiella Infections / therapy
  • Klebsiella Infections / urine
  • Middle Aged
  • Urinary Tract Infections / complications*
  • Urinary Tract Infections / diagnosis
  • Urinary Tract Infections / therapy
  • Urinary Tract Infections / urine