Emphysematous pyelonephritis and emphysematous cystitis in a patient with neurogenic bladder: A case report

Abstract

Emphysematous pyelonephritis and cystitis, rare and potentially life-threatening infections marked by gas accumulation in the urinary tract, are described in a 32-year-old male with a history of myelomeningocele and a neurogenic bladder managed by a Benchekroune valve. Clinical and radiological findings confirmed emphysematous pyelonephritis and cystitis. A conservative approach, including urinary drainage and four-week antibiotic treatment (ceftriaxone and metronidazole), led to rapid clinical improvement. This case underscores the successful management of emphysematous infections in a neurogenic bladder patient, emphasizing the effectiveness of conservative treatment.

Keywords

• 1. emphysematous pyelonephritis
• 2. cystitis
• 3. neurogenic bladder
• 4. case report
• 5. conservative management