Cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajo

Emphysematous cystitis is found in diabetic patients and in individuals with urinary stasis and immunosuppression. We report a 58-year-old male with hypertension, type 2 Diabetes on insulin treatment and central nervous system vasculitis on immunosuppressive therapy. He was admitted with weight loss...

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Autores principales:	Vera A,Nicolás, Zwanzger M,Christian, Troncoso C,Pablo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2015
Materias:	Cystitis Enterobacter Aerogenes, Urinary Tract Infections
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000300015
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spelling	oai:scielo:S0034-988720150003000152015-08-11Cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajoVera A,NicolásZwanzger M,ChristianTroncoso C,Pablo Cystitis Enterobacter Aerogenes, Urinary Tract Infections Emphysematous cystitis is found in diabetic patients and in individuals with urinary stasis and immunosuppression. We report a 58-year-old male with hypertension, type 2 Diabetes on insulin treatment and central nervous system vasculitis on immunosuppressive therapy. He was admitted with weight loss and gait instability. A PET-CT showed a circumscribed image of air in the bladder contour without involving the upper urinary tract, suggesting emphysematous cystitis. Re-interrogated, the patient referred pneumaturia, dysuria and febrile sensation one week before admission. Urine culture showed Enterobacter aerogenes. He was treated with a urinary catheter, metabolic control and parenteral antimicrobials. The patient was discharged without symptoms 21 days after admission, with the bladder catheter.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.143 n.3 20152015-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000300015es10.4067/S0034-98872015000300015
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cystitis Enterobacter Aerogenes, Urinary Tract Infections
spellingShingle	Cystitis Enterobacter Aerogenes, Urinary Tract Infections Vera A,Nicolás Zwanzger M,Christian Troncoso C,Pablo Cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajo
description	Emphysematous cystitis is found in diabetic patients and in individuals with urinary stasis and immunosuppression. We report a 58-year-old male with hypertension, type 2 Diabetes on insulin treatment and central nervous system vasculitis on immunosuppressive therapy. He was admitted with weight loss and gait instability. A PET-CT showed a circumscribed image of air in the bladder contour without involving the upper urinary tract, suggesting emphysematous cystitis. Re-interrogated, the patient referred pneumaturia, dysuria and febrile sensation one week before admission. Urine culture showed Enterobacter aerogenes. He was treated with a urinary catheter, metabolic control and parenteral antimicrobials. The patient was discharged without symptoms 21 days after admission, with the bladder catheter.
author	Vera A,Nicolás Zwanzger M,Christian Troncoso C,Pablo
author_facet	Vera A,Nicolás Zwanzger M,Christian Troncoso C,Pablo
author_sort	Vera A,Nicolás
title	Cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajo
title_short	Cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajo
title_full	Cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajo
title_fullStr	Cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajo
title_full_unstemmed	Cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajo
title_sort	cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajo
publisher	Sociedad Médica de Santiago
publishDate	2015
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000300015
work_keys_str_mv	AT veraanicolas cistitisenfisematosaunainusualformadepresentaciondelainfecciondeltractourinariobajo AT zwanzgermchristian cistitisenfisematosaunainusualformadepresentaciondelainfecciondeltractourinariobajo AT troncosocpablo cistitisenfisematosaunainusualformadepresentaciondelainfecciondeltractourinariobajo
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Cistitis enfisematosa: una inusual forma de presentación de la infección del tracto urinario bajo

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