Emphysematous cystitis and necrotizing fasciitis

Authors

  • Peter Z.T. Wang Western University Schulich School of Medicine
  • Paul Robert Martin Western University Schulich School of Medicine
  • Patrick P.W. Luke Western University Schulich School of Medicine

DOI:

https://doi.org/10.5489/cuaj.1865

Keywords:

Emphysematous, Cystitis, Necrotizing Fasciitis

Abstract

Emphysematous cystitis is an uncommon and often severe infectious condition of the bladder that usually affects women and diabetics. We report a case of a 62-year-old male patient who presented with concomitant emphysematous cystitis and necrotizing fasciitis of the right leg. The patient was initially managed with emergent disarticulation of the right leg. Tissue cultures were positive for Ciprofloxacin-resistant Klebsiella pneumoniae. He was treated with Piperacillin-Tazobactam; however, due to the failure of conservative management of the condition, the patient underwent a cystoprostatectomy with ileal conduit. To our knowledge, this is the first report of concomitant emphysematous cystitis and necrotizing fasciitis requiring aggressive surgical intervention for both diseases.

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Author Biographies

Peter Z.T. Wang, Western University Schulich School of Medicine

Department of Surgery

Division of Urology

Urology Resident PGY4

Paul Robert Martin, Western University Schulich School of Medicine

Department of Surgery

Division of Urology

MD, FRCSC

 

Patrick P.W. Luke, Western University Schulich School of Medicine

Department of Surgery

Division of Urology

MD, FRCSC

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Published

2014-07-18

How to Cite

Wang, P. Z., Martin, P. R., & Luke, P. P. (2014). Emphysematous cystitis and necrotizing fasciitis. Canadian Urological Association Journal, 8(7-8), e498–9. https://doi.org/10.5489/cuaj.1865

Issue

Vol. 8 No. 7-8 (2014): CUAJ July

Section

Case Report

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