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Volume 5, Issue 4 (October-December, 2015)

Emphysematous Urinary Tract Infection In Neurogenic Bladder Patient With Rectal Cancer

download_pdf1Author: Selahattin Çalışkan [1]

Affiliation: [1] Department of Urology, Hitit University Çorum Training and Research Hospital, Çorum, Turkey

Conflict of Interest: None declared

This article has been peer reviewed.

Article Submitted on: 1st January 2015

Article Accepted on: 18th April 2015

Funding Sources: None declared

Correspondence to: Dr Selahattin Çalışkan

Address: Department of Urology, Hitit University Çorum Training and Research Hospital, Çorum, Turkey

E-mail: [email protected]

Cite this Article: Çalışkan S. Emphysematous urinary tract infection in neurogenic bladder patient with rectal cancer. J Pioneer Med Sci 2015; 5(4):135

Clinical Images

JPMS-VOL5-ISSUE4-PAGES135-IMAGE1A 51-year-old woman presented  to Hitit University, Çorum Training and Research Hospital, Urology Department, Çorum, Turkey, in October 2014, with air in the urinary tract on ultrasonographic examination. White blood cells levels were 27100x 106/L (4000-10000), creatinine was 2.82 mg/dL (0.2-1.3), glucose was 88 mg/dL (70-110) and CRP was 185 mg/dL (0-5). Urine culture was positive with Escherichia coli. Computed tomography of the urinary system was consistent with the diagnosis of emphysematous pyelonephritis  (Figure1). Of note, patient had history of rectal cancer which was treated with low anterior resection with hysterectomy, bilateral salpingo-oophorectomy and ureteroneocystostomy, followed by 5-flurouracil and oxaliplatin. Since her operation eight months ago, patient needed intermittent self-catheterization.

Emphysematous pyelonephritis is a rare necrotizing bacterial infection of the kidney and has a high mortality rate (23%) [1]. Emphysematous pyelonephritis generally affects adults. It is especially associated with diabetes and urinary tract obstruction. Escherichia coli is the main bacterial agent.

REFERENCES

  1. Cherif M, Kerkeni W, Bouzouita A, Selmi MS, Derouiche A, Ben Slama MR, Chebil M. [Emphysematous pyelonephritis. Epidemiological, clinical, biological, bacteriological, radiological, therapeutic and prognostic features. Retrospective study of 30 cases]. Tunis Med 2012;90:725-9.