North American Journal of Medical Sciences

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

Emphysematous cystitis: A rare disease of Genito-urinary system


Shilpi Singh1, Waqas Jehangir1, Jay Littlefield2, George Hanna2, Gretchen Bowling2, Abdalla Yousif1, John R Middleton1 
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

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«SQ» awareness of recurrent EC with a urine culture bacterial load greater than 100,000 E. coli/mL.


How to cite this article:
Singh S, Jehangir W, Littlefield J, Hanna G, Bowling G, Yousif A, Middleton JR. Emphysematous cystitis: A rare disease of Genito-urinary system.North Am J Med Sci 2015;7:332-333


How to cite this URL:
Singh S, Jehangir W, Littlefield J, Hanna G, Bowling G, Yousif A, Middleton JR. Emphysematous cystitis: A rare disease of Genito-urinary system. North Am J Med Sci [serial online] 2015 [cited 2020 Apr 10 ];7:332-333
Available from: http://www.najms.org/article.asp?issn=1947-2714;year=2015;volume=7;issue=7;spage=332;epage=333;aulast=Singh;type=0