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CASE REPORT
Year : 2015  |  Volume : 7  |  Issue : 7  |  Page : 332-333

Emphysematous cystitis: A rare disease of Genito-urinary system


1 Department of Internal Medicine, Raritan Bay Medical Center, Perth Amboy, New Jersey, USA
2 Ross University School of Medicine, Portsmouth, Dominica

Correspondence Address:
Dr. Waqas Jehangir
530 New Brunswick Avenue, Perth Amboy - 08861, New Jersey
USA
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Source of Support: None, Conflict of Interest: This is to state that there has been no activity or involvement that will raise the question of bias in this case report or any of the conclusions or opinions that it stands for.


DOI: 10.4103/1947-2714.161253

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Context: Emphysematous cystitis (EC) is a rare infection of the urinary tract that results in gas production in the bladder. It is more common in diabetic and female patients, and can be associated with more serious complications, including pyelonephritis. Case Report: We describe a case of recurrent bacterial cystitis caused by Escherichia coli (E. coli). An incidental finding in our patient of pneumaturia on computed tomography (CT) scan prompted further work-up. Differential diagnoses for pneumaturia include infection, trauma, and fistula, most commonly colovesicular. The patient history ruled out trauma and CT scanning ruled out a fistula; culture of the urine then showed a bacterial load greater than 100,000 E. coli/mL. The patient was then diagnosed with EC. She was treated with ceftriaxone and released in stable condition. Conclusion: The literature was scarce when it came to diagnoses of EC based on bacterial load. We present this case to increase health care providers' awareness of recurrent EC with a urine culture bacterial load greater than 100,000 E. coli/mL.


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