Asploro Journal of Biomedical and Clinical Case Reports

Asploro Journal of Biomedical and Clinical Case Reports

Xu Hu¹, Yujie Diao¹, Yiqin Xia^1iD*
1Department of Emergency Medicine, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, China

Corresponding Author: Yiqin Xia ^{ORCID iD}
Address: Department of Emergency Medicine, West China Hospital, Sichuan University, 37 Guoxue Road, Chengdu 610041, Sichuan, China.
Received date: 14 July 2024; Accepted date: 02 August 2024; Published date: 09 August 2024

Citation: Hu X, Diao Y, Xia Y. An Unusual Case Presentation of Coexistence of Emphysematous Cystitis and Bilateral Emphysematous Pyelonephritis: A Case Report. Asp Biomed Clin Case Rep. 2024 Aug 09;7(3):205-209.

Copyright © 2024 Hu X, Diao Y, Xia Y. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Emphysematous Cystitis, Emphysematous Pyelonephritis, Type 2 Diabetes

Abstract

Background: Emphysematous cystitis (EC) and emphysematous pyelonephritis (EPN) are severe emphysematous urinary tract infections with high mortality. Early diagnosis is often missed due to the lack of typical clinical manifestations.
Case Presentation: A 64-year-old woman with type 2 diabetes was transferred to the emergency department for cough and expectoration with shortness of breath. A CT scan revealed gas formation in the bilateral renal pelvis, bilateral ureter, and bladder cavity. Urine bacterial cultures showed Escherichia coli and Streptococcus gallolyticus. The patient’s bladder was drained, and she was administered antibiotics, insulin, and a non-invasive ventilator. The gas disappeared completely, and the patient recovered uneventfully.
Conclusion: This is the first reported case of Escherichia coli combined with Streptococcus gallolyticus infection in EC and EPN. More attention should be paid to EC and EPN in diabetes patients. Early conservative treatment is effective.