Departmental Bulletin Paper 気腫性膀胱炎と急性巣状細菌性腎炎を合併した高齢非糖尿病患者の1例
Emphysematous Cystitis and Acute Focal Bacterial Nephritis : A Case Report

山道, 岳  ,  中川, 勝弘  ,  大草, 卓也  ,  谷口, 歩  ,  岩西, 利親  ,  松崎, 恭介  ,  谷川, 剛  ,  蔦原, 宏一  ,  今村, 亮一  ,  高尾, 徹也  ,  山口, 誓司

62 ( 2 )  , pp.99 - 103 , 2016-02-29 , 泌尿器科紀要刊行会
A 96-year-old woman was diagnosed with colitis in our hospital. Her past history was breast cancer and lung cancer but no diabetes mellitus. She suddenly complained of lower abdominal pain. Abdominal computed tomography (CT) revealed intramural gas in the bladder wall and multiple poor contrasting area in her right kidney, which suggested emphysematous cystitis and acute focal bacterial nephritis. Indwelling urethral catheter was performed for bladder drainage and the treatment with antibiotics started. Urine culture revealed Klebsiella pneumoniae and blood culture was negative. After 3 weeks, the abdominal CT confirmed the decrease of gas within the bladder wall and improvement of contrasting area in the right kidney.

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