Emphysematous cystitis: An atypical multi-organism presentation

Authors

  • Derek Bos Northern Ontario School of Medicine
  • Premal Patal The University of Manitoba
  • Sonia DiTullio Timmins and District Hospital

DOI:

https://doi.org/10.5489/cuaj.1259

Keywords:

emphysematous, cystitis, multi-organism

Abstract

An 84-year-old diabetic women receiving in-hospital strokemanagement began suffering from vague lower abdominal pain,increased urge incontinence and gross hematuria. Physical examinationrevealed suprapubic tenderness and a tympanic bladder.A computed tomography confirmed a distended bladder with gasfoci delineating the bladder wall. Microbiology revealed an atypicalmulti-organism presentation of Klebsiella pneumoniae andEnterococcus species. Emphysematous cystitis is characterized byair within the bladder wall often found in elderly diabetic females.Predominant organisms include Escherichia coli and Klebsiellapneumonia. Prompt treatment is essential in this potentially fatalcondition.

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Author Biographies

Derek Bos, Northern Ontario School of Medicine

Fourth year medical student. Department of Medicine, Northern Ontario School of Medicine.

Premal Patal, The University of Manitoba

First year Urology resident. Department of Urological Sciences. The University of Manitoba.

Sonia DiTullio, Timmins and District Hospital

Physician. Department of Family Medicine. Timmins and District Hospital.

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Published

2014-03-11

How to Cite

Bos, D., Patal, P., & DiTullio, S. (2014). Emphysematous cystitis: An atypical multi-organism presentation. Canadian Urological Association Journal, 8(3-4), e210–2. https://doi.org/10.5489/cuaj.1259

Issue

Vol. 8 No. 3-4 (2014): CUAJ March

Section

Case Report

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