Pediatric emphysematous cystitis: a report and review of a rare diagnosis in children.
An 11-year-old female with spastic quadriplegia was seen in the emergency room with abdominal pain, vomiting and anorexia. Labs revealed possible pancreatitis and signs of a urinary tract infection. A CT scan was performed to assess her abdominal pain and demonstrated circumferential air within the bladder wall. Following cultures being drawn, she was started on broad spectrum antibiotics. Her urine eventually grew Klebsiella Pneumoniae. Follow up imaging 2 weeks later demonstrated resolution of the air. Emphysematous cystitis is an exceedingly rare condition in the pediatric population, with this report representing the second case within the literature.
Department of Urology, University of Iowa, Iowa City, Iowa, USA.
Matthew A
MA
Uhlman
Eric D
ED
Andresen
Douglas W
DW
Storm
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002547:Cerebral Palsy / Q000150:complications; D002648:Child; D003556:Cystitis / Q000000981:diagnostic imaging / Q000382:microbiology*; D004646:Emphysema / Q000000981:diagnostic imaging / Q000382:microbiology*; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications* / Q000188:drug therapy; D007711:Klebsiella pneumoniae; D011782:Quadriplegia / Q000150:complications; D035583:Rare Diseases / Q000000981:diagnostic imaging / Q000382:microbiology; D014057:Tomography, X-Ray Computed; D014552:Urinary Tract Infections / Q000150:complications* / Q000188:drug therapy
D000900:Anti-Bacterial Agents