RESUMO
Emphysematous cystitis and pyelonephritis is a rare infectious disease of the urinary tract. Its reputedly-serious prognosis is related to treatment failures revealing ignorance concerning its pathophysiological mechanisms. One case of this disease was seen in our department, a diabetic woman over the age of 78 years with a history of hypertension. She presented to the emergency department with hematuria, pain in her lower abdomen and alteration of the general state. The urine culture isolated Klebsiella pneumoniae. The treatment consisted of bladder drainage associated with adapted antibiotic therapy and diabetes control. The prognosis of this disease depends on early diagnosis and prompt effective treatment
RESUMO
Erysipelas is an acute bacterial infection of the dermis and hypodermis generally caused by streptococcus. This affection is rare at the upper limb. The authors report the observation of three patients of the 4[th] and the 7[th] decade presenting an erysipelas at the upper limb having evolved favorably under antibiotic treatment and hospitalisation in two cases. The erysipelas is of clinical diagnosis basing on general and local signs. The portal of entry must be always looked for and treated. It represents with the diabetes, the obesity and the lymphedema a factor of gravity of this pathology