Caso clínico: cistitis enfisematosa asociada a hidronefrosis secundaria / Emphysematous cystitis: Report of one case
Rev. méd. Chile
;
142(1): 114-117, ene. 2014. ilus
Article
Dans Espagnol
| LILACS
| ID: lil-708859
ABSTRACT
We report a 53 year-old woman with type 2 diabetes mellitus and hypertension, presenting with progressive abdominal pain lasting three weeks, associated with lower abdominal swelling and fever. Clinical examination showed a large increase in abdominal volume, contraction of extracellular compartment, and signs of severe sepsis. Computed tomography showed an over-distended bladder with severe wall and luminal pneumatosis and bilateral hydronephrosis. The diagnosis was of emphysematous cystitis associated to hydronephrosis. Urine and blood cultures were positive for multi-susceptible Escherichia coli. Clinical evolution was favorable after 6 weeks of ceftriaxone and urinary catheter use. Emphysematous cystitis is a rare clinical entity, with an associated mortality of 7%. Known predisposing factors are older age, female gender and presence of diabetes. Microbiological agents most frequently involved are Escherichia coli and Klebsiella pneumoniae (80% of cases). Medical treatment is preferred and is based on urinary tract decompression with a bladder catheter, and prolonged broad spectrum antimicrobial therapy.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Cystite
/
Emphysème
Type d'étude:
Etude d'étiologie
Limites du sujet:
Femelle
/
Humains
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2014
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Universidad de Chile/CL
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS