Caso clínico: cistitis enfisematosa asociada a hidronefrosis secundaria

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...

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Autores principales:	de Arce Oñate,Edith Pérez, Sanhueza,María Eugenia, Torres,Rubén, Segovia,Erico
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Cystitis emphysematous Escherichia coli Hydronephrosis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000100018
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spelling	oai:scielo:S0034-988720140001000182014-08-18Caso clínico: cistitis enfisematosa asociada a hidronefrosis secundariade Arce Oñate,Edith PérezSanhueza,María EugeniaTorres,RubénSegovia,Erico Cystitis emphysematous Escherichia coli Hydronephrosis 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.1 20142014-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000100018es10.4067/S0034-98872014000100018
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cystitis emphysematous Escherichia coli Hydronephrosis
spellingShingle	Cystitis emphysematous Escherichia coli Hydronephrosis de Arce Oñate,Edith Pérez Sanhueza,María Eugenia Torres,Rubén Segovia,Erico Caso clínico: cistitis enfisematosa asociada a hidronefrosis secundaria
description	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.
author	de Arce Oñate,Edith Pérez Sanhueza,María Eugenia Torres,Rubén Segovia,Erico
author_facet	de Arce Oñate,Edith Pérez Sanhueza,María Eugenia Torres,Rubén Segovia,Erico
author_sort	de Arce Oñate,Edith Pérez
title	Caso clínico: cistitis enfisematosa asociada a hidronefrosis secundaria
title_short	Caso clínico: cistitis enfisematosa asociada a hidronefrosis secundaria
title_full	Caso clínico: cistitis enfisematosa asociada a hidronefrosis secundaria
title_fullStr	Caso clínico: cistitis enfisematosa asociada a hidronefrosis secundaria
title_full_unstemmed	Caso clínico: cistitis enfisematosa asociada a hidronefrosis secundaria
title_sort	caso clínico: cistitis enfisematosa asociada a hidronefrosis secundaria
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000100018
work_keys_str_mv	AT dearceonateedithperez casoclinicocistitisenfisematosaasociadaahidronefrosissecundaria AT sanhuezamariaeugenia casoclinicocistitisenfisematosaasociadaahidronefrosissecundaria AT torresruben casoclinicocistitisenfisematosaasociadaahidronefrosissecundaria AT segoviaerico casoclinicocistitisenfisematosaasociadaahidronefrosissecundaria
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Caso clínico: cistitis enfisematosa asociada a hidronefrosis secundaria

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