Emphysematous Cystitis Occurred in the Case Treated with Steroid for Autoimmune Hepatitis

Emphysematous cystitis is a rare clinically entity, more commonly seen in diabetic, immunocompromised patients, which was characterized by air within the bladder wall and lumen. A 83-year-old woman was introduced to our department with fever elevation and abnormal findings of computed tomography (CT...

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Main Authors: Tateki Yoshino, Shinya Ohara, Hiroyuki Moriyama
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2013/821780
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author Tateki Yoshino
Shinya Ohara
Hiroyuki Moriyama
author_facet Tateki Yoshino
Shinya Ohara
Hiroyuki Moriyama
author_sort Tateki Yoshino
collection DOAJ
description Emphysematous cystitis is a rare clinically entity, more commonly seen in diabetic, immunocompromised patients, which was characterized by air within the bladder wall and lumen. A 83-year-old woman was introduced to our department with fever elevation and abnormal findings of computed tomography (CT). She took orally prednisolone for autoimmune hepatitis. Pelvic CT revealed diffuse air throughout the bladder wall. Urinalysis showed combined hematuria and pyuria. Escherichia coli was detected in blood culture. Abnormal findings of complete blood count and laboratory examination included an elevated WBC count (12,200/L), C-reactive protein (11.7 mg/dL), and creatinine (1.07 mg/dL). Cystoscopy confirmed diffuse submucosal emphysema throughout. On the basis of diagnosis with emphysematous cystitis, she was treated with antibiotics based on the results of blood culture and indwelling Foley catheter. After treatment, the improvement of inflammatory findings and submucosal emphysema on cystoscopy and CT were achieved.
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spelling doaj-art-b20539470b4148778f467a5d8e3966282025-02-03T01:31:15ZengWileyCase Reports in Urology2090-696X2090-69782013-01-01201310.1155/2013/821780821780Emphysematous Cystitis Occurred in the Case Treated with Steroid for Autoimmune HepatitisTateki Yoshino0Shinya Ohara1Hiroyuki Moriyama2Department of Urology, JA Onomichi General Hospital, 1-10-23 Hirahara, Onomichi City, Hiroshima 722-0018, JapanDepartment of Urology, Integrated Health Sciences, Institute of Biochemical & Health Sciences, Hiroshima University, Hiroshima 734-8551, JapanDepartment of Urology, JA Onomichi General Hospital, 1-10-23 Hirahara, Onomichi City, Hiroshima 722-0018, JapanEmphysematous cystitis is a rare clinically entity, more commonly seen in diabetic, immunocompromised patients, which was characterized by air within the bladder wall and lumen. A 83-year-old woman was introduced to our department with fever elevation and abnormal findings of computed tomography (CT). She took orally prednisolone for autoimmune hepatitis. Pelvic CT revealed diffuse air throughout the bladder wall. Urinalysis showed combined hematuria and pyuria. Escherichia coli was detected in blood culture. Abnormal findings of complete blood count and laboratory examination included an elevated WBC count (12,200/L), C-reactive protein (11.7 mg/dL), and creatinine (1.07 mg/dL). Cystoscopy confirmed diffuse submucosal emphysema throughout. On the basis of diagnosis with emphysematous cystitis, she was treated with antibiotics based on the results of blood culture and indwelling Foley catheter. After treatment, the improvement of inflammatory findings and submucosal emphysema on cystoscopy and CT were achieved.http://dx.doi.org/10.1155/2013/821780
spellingShingle Tateki Yoshino
Shinya Ohara
Hiroyuki Moriyama
Emphysematous Cystitis Occurred in the Case Treated with Steroid for Autoimmune Hepatitis
Case Reports in Urology
title Emphysematous Cystitis Occurred in the Case Treated with Steroid for Autoimmune Hepatitis
title_full Emphysematous Cystitis Occurred in the Case Treated with Steroid for Autoimmune Hepatitis
title_fullStr Emphysematous Cystitis Occurred in the Case Treated with Steroid for Autoimmune Hepatitis
title_full_unstemmed Emphysematous Cystitis Occurred in the Case Treated with Steroid for Autoimmune Hepatitis
title_short Emphysematous Cystitis Occurred in the Case Treated with Steroid for Autoimmune Hepatitis
title_sort emphysematous cystitis occurred in the case treated with steroid for autoimmune hepatitis
url http://dx.doi.org/10.1155/2013/821780
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AT hiroyukimoriyama emphysematouscystitisoccurredinthecasetreatedwithsteroidforautoimmunehepatitis