An Atypical Case of Emphysematous Cystitis in a Young Non-Diabetic Patient

Behshad Charkhand, Ali Kord Valeshabad, Joseph Farahany, Jason Warncke, Artineh Hayrapetian, Mark R. Nehler, Shandra Wilson


Emphysematous cystitis is a rare, but severe infection of the urinary tract which is mostly found in older women with uncontrolled diabetes. A 34-year-old non-diabetic male with a past medical history of refractory hepatic encephalopathy presented with fever and increased lower abdominal pain for 1 day. Computed tomography (CT) scan demonstrated multiple gas foci in a diffuse collection of gas within the thickened bladder wall suggestive of emphysematous cystitis, and urine culture revealed Klebsiella pneumoniae as the causative agent. The infection resolved with bladder drainage and irrigation and antibiotic therapy in 1 week. An atypical case of emphysematous cystitis in a young non-diabetic man is reported. Early diagnosis and prompt treatment are essential to achieving a favorable prognosis and to preventing a potentially fatal condition.

World J Nephrol Urol. 2019;8(1):17-18


Emphysematous cystitis; Urinary tract infection; Pneumaturia; Computed tomography

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World Journal of Nephrology & Urology, quarterly, ISSN 1927-1239 (print), 1927-1247 (online), published by Elmer Press Inc.                     
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