Emphysematous cystitis with diabetic neurogenic bladder.
A 62-year-old diabetic woman suffering from high fever was admitted to our hospital. She had a lower abdominal phantom tumor and hyperglycemia. The results of urine analysis showed hematuria and bacteriuria. X-ray and computed tomography revealed gas accumulation in the wall of the bladder. Escherichia coli was identified in urine culture. On the basis of the lack of urine output and the identification of residual urine on catheterization, a diagnosis of emphysematous cystitis with diabetic neurogenic bladder was established. The patient recovered after discontinuation of urinary drainage, intensive insulin therapy, and antibiotic therapy.
Yoshida
Kazuya
K
Department of Internal Medicine and Clinical Research, Zentsuji National Hospital, Japan. kyoshida@jun.ncvc.go.jp
Murao
Koji
K
Fukuda
Nobuo
N
Tamura
Yoshiyuki
Y
Ishida
Toshihiko
T
D003556:Cystitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003929:Diabetic Neuropathies / Q000150:complications*; D004646:Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*; D004927:Escherichia coli Infections / Q000209:etiology*; D005260:Female; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D001750:Urinary Bladder, Neurogenic / Q000150:complications*
D007328:Insulin