Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Emphysematous Cystitis with Diabetic Neurogenic Bladder
Kazuya YoshidaKoji MuraoNobuo FukudaYoshiyuki TamuraToshihiko Ishida
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JOURNAL OPEN ACCESS

2010 Volume 49 Issue 17 Pages 1879-1883

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Abstract

A 62-year-old diabetic woman suffering from high fever was admitted to our hospital. She had a lower abdominal phantom tumor and hyperglycemia. The results of urine analysis showed hematuria and bacteriuria. X-ray and computed tomography revealed gas accumulation in the wall of the bladder. Escherichia coli was identified in urine culture. On the basis of the lack of urine output and the identification of residual urine on catheterization, a diagnosis of emphysematous cystitis with diabetic neurogenic bladder was established. The patient recovered after discontinuation of urinary drainage, intensive insulin therapy, and antibiotic therapy.

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© 2010 by The Japanese Society of Internal Medicine
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