McGill Journal of Medicine (Aug 2020)
Severe emphysematous cystitis: Outcome after seven days of antibiotics
Abstract
We present the case of a 70-year-old woman with emphysematous cys- titis. She was a diabetic patient and she was on chemotherapy treatment for a breast cancer. She complaint of severe asthenia and pain in her right lower extremity, but no fever or urinary symptoms. A computed tomography (CT) scan was suggestive of severe emphysematous cystitis. Emphysematous cystitis is a rare clinically entity, more commonly seen in diabetic, immunocompromised patients. A conservative treatment approach using antibiotics and bladder catheterization is typically suc- cessful, with a complication rate less than 20%.