[A diabetic patient with cystitis emphysematosa].
In a woman aged 80 years arriving in the Emergency Room with progressive malaise, anorexia and somnolence, a large resistance was found in the lower abdomen, which proved to be due to cystitis emphysematosa. The patient was known to suffer from non-insulin dependent diabetes mellitus. Imaging revealed a large accumulation of gas in the urinary bladder, which was treated successfully with catheterization and antibiotics. Cystitis emphysematosa is a rare condition, characterized by collection of gas in the bladder and bladder wall and brought about by gas-forming micro-organisms that decompose glucose. In patients with diabetes mellitus optimal regulation of the blood glucose levels, with a view to preventing glycosuria, is a condition of speedy recovery. Although cases with a fatal outcome have been reported, the prognosis in general is favourable.
Zandberg
F T
FT
Ziekenhuis Gooi-Noord, afd. Interne Geneeskunde, Blaricum.
Derksen
J
J
D000368:Aged; D000369:Aged, 80 and over; D003556:Cystitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D004926:Escherichia coli / Q000302:isolation & purification; D005260:Female; D006029:Glycosuria / Q000382:microbiology / Q000517:prevention & control; D006801:Humans; D006943:Hyperglycemia / Q000517:prevention & control; D011859:Radiography; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000382:microbiology
Een diabetespatiënt met cystitis emphysematosa.