Emphysematous cystitis An unusual disease of the Genito-Urinary system suspected on imaging.docVIP

Annals of Clinical Microbiology and Antimicrobials BioMedCentral Case report Open Access Emphysematous cystitis: An unusual disease of the Genito-Urinary system suspected on imaging Ravi K Bobba, Edward L Arsura*, Pawanjit S Sarna and Amar K Sawh Address: Department of Internal Medicine Veterans Affairs Medical Center University of Virginia, Roanoke-Salem Program, Virginia, USA Email: Ravi K Bobba - rkbobba@; Edward L Arsura* - edward.arsura@; Pawanjit S Sarna - jatta60@; Amar K Sawh - amar.sawh@ * Corresponding author Published: 05 October 2004 Received: 30 June 2004 Accepted: 05 October 2004 Annals of Clinical Microbiology and Antimicrobials 2004, 3:20 doi:10.1186/1476-0711-3-20 This article is available from: /content/3/1/20 ? 2004 Bobba et al; licensee BioMed Central Ltd. This is an open-access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. hematuriaemphysematous cystitis Abstract Emphysematous cystitis is a rare disease entity caused by gas fermenting bacterial and fungal pathogens. Clinical symptoms are nonspecific and diagnostic clues often arise from the unanticipated imaging findings. We report a case of 52-year-old male who presented with fever, dysuria and gross hematuria who was found to have emphysematous cystitis. Introduction prior). He had 66-pack year history of smoking. Medica- tions on admission included, aspirin, atenolol, cycloben- zaprine, gabapentin, gemfibrozil, glipizide, NPH insulin, hydrochlorthiazide/triamterene, nifedipine, nitroglycerin patch, omeprazole, and sertraline. Emphysematous cystitis is an uncommon, but severe manifestation of infection of the urinary bladder pro- duced by gas forming organisms. The presentation may be atypical and contrary to the degree of infl