title: [Emphysematous Cystitis and Acute Focal Bacterial Nephritis: A Case Report].
abstract: A 96-year-old woman was diagnosed with colitis in our hospital. Her past history was breast cancer and lung cancer but no diabetes mellitus. She suddenly complained of lower abdominal pain. Abdominal computed tomography (CT) revealed intramural gas in the bladder wall and multiple poor contrasting area in her right kidney, which suggested emphysematous cystitis and acute focal bacterial nephritis. Indwelling urethral catheter was performed for bladder drainage and the treatment with antibiotics started. Urine culture revealed Klebsiella pneumoniae and blood culture was negative. After 3 weeks, the abdominal CT confirmed the decrease of gas within the bladder wall and improvement of contrasting area in the right kidney.
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Gaku
authors.initials: G
authors.lastname: Yamamichi
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nakagawa
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Takuya
authors.initials: T
authors.lastname: Okusa
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Ayumu
authors.initials: A
authors.lastname: Taniguchi
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Toshichika
authors.initials: T
authors.lastname: Iwanishi
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Kyosuke
authors.initials: K
authors.lastname: Matsuzaki
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Go
authors.initials: G
authors.lastname: Tanigawa
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Koichi
authors.initials: K
authors.lastname: Tsutahara
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Imamura
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Takao
authors.affiliation: The Department of Urology, Osaka General Medical Center.
authors.forename: Seiji
authors.initials: S
authors.lastname: Yamaguchi
mesh_terms: D000208:Acute Disease; D000369:Aged, 80 and over; D003556:Cystitis / Q000150:complications* / Q000382:microbiology*; D005260:Female; D006801:Humans; D009393:Nephritis / Q000150:complications* / Q000382:microbiology*; D014057:Tomography, X-Ray Computed; D016482:Urinalysis; D062885:Urinary Catheters