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ID 45272
JaLCDOI
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Author
Toyota, Noriko
Ishii, Keita
Hirata, Kyoji
Shikata, Kenichi Kaken ID researchmap
Makino, Hirofumi
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.
Keywords
computed tomography
diabetes mellitus
emphysematous cystitis
Amo Type
Case Report
Published Date
2011-04
Publication Title
Acta Medica Okayama
Volume
volume65
Issue
issue2
Publisher
Okayama University Medical School
Start Page
129
End Page
133
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2011 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT