Emphysematous cystitis complication in a patient undergoing hemodialysis

被引：8

作者：

Yokoo T. ^{[1
,2
]}

Awai T. ^{[1
]}

Yamazaki H. ^{[3
,4
]}

Fukuda Y. ^{[5
]}

Hayashi F. ^{[1
,2
]}

Hosoya T. ^{[2
]}

机构：

[1] Department of Internal Medicine, Tokyu Hospital, Tokyo

[2] Department of Internal Medicine, Jikei University, School of Medicine, Minato-ku, Tokyo 105-8461

[3] Department of Urology, Tokyu Hospital, Tokyo

[4] Department of Urology, Jikei University, School of Medicine, Tokyo

[5] Department of Radiology, Tokyu Hospital, Tokyo

来源：

Clinical and Experimental Nephrology | 2007年 / 11卷 / 3期

关键词：

Diabetes; Dialysis; Emphysematous cystitis; Urinary tract infection;

D O I：

10.1007/s10157-007-0478-3

中图分类号：

学科分类号：

摘要：

Emphysematous cystitis is a rare condition characterized by air formation in and around the bladder wall by gas-forming organisms. Although diabetes mellitus and chronic urinary infection, which are frequently encountered in patients with endstage renal disease (ESRD), are predisposing factors for this entity, emphysematous cystitis is actually not common in ESRD patients. Here we provide the first report of a hemodialysis patient who developed typical emphysematous cystitis. Unlike other cases, the emphysematous cystitis recurred after discontinuation of urinary drainage and antibiotic therapy. The possible reason that this case is of a less common type that is more refractory than the other cases, and the method by which patients with ESRD are commonly treated, are discussed. Not anuric but rather oliguric diabetic patients, even after long-term hemodialysis, are the patients at risk for emphysematous cystitis. © 2007 Japanese Society of Nephrology.

引用

页码：247 / 250

页数：3

共 10 条

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