Open AccessEmphysematous cystitis: An atypical multi-organism presentation
Author(s) -
Derek Bos,
Premal Patal,
Sonia DiTullio
Publication year - 2014
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.1259
Subject(s) - presentation (obstetrics) , klebsiella pneumoniae , medicine , gross hematuria , lower abdominal pain , urinary bladder , tenderness , abdominal pain , surgery , escherichia coli , biology , biochemistry , gene
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.