%0 Journal Article
%T Emphysematous cystitis of the diabetic patient
%A Affes Nejmeddine
%A Bahloul Atef
%A Dammak Youssef
%A Beyrouti Ramez
%J North American Journal of Medical Sciences
%D 2009
%I North American Journal of Medical Sciences
%X Background: Emphysematous cystitis is defined by the presence of gas in the urinary bladder wall. It complicates urinary tract infections especially in diabetic patients. Aim: We present a case of emphysematous cystitis in a diabetic patient with a poor glycemia control and we discuss diagnostics and treatment items of this uncommon and serious infection. Methods and Results: A 45-year-old man was admitted to the emergency department with confusion and abdominal pain. The clinical examination found a septic shock the Ultra-sonography (US) showed a cholecystitis the patient was operated without amelioration. A post operative pelvic computed tomography (CT) demonstrated intramural gas in the urinary bladder, which suggested a diagnosis of emphysematous cystitis. The treatment was based on an antibiotics associated with a bladder drainage. The evolution was in favor. Conclusion: Every diabetic patient with a urinary tract infection who seems to be severely ill should have an abdominal X-ray as a minimal screening tool to detect emphysematous complications.
%K diabetic
%K urinary tract infection
%K Emphysematous cystitis
%K pneumaturia
%K computed tomography
%U http://najms.org/resources/PDF+114-116+Emphysematous+cystitis+of+the+diabetic+patient.pdf