scholarly journals Bilateral Psoas Muscle Abscess Associated with Emphysematous Cystitis

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Jae-Ki Choi ◽  
Jae-Cheol Kwon
Keyword(s):  
Urinary Tract ◽  
Early Recognition ◽  
Interventional Procedure ◽  
Psoas Muscle ◽  
Good Prognosis ◽  
Emphysematous Pyelonephritis ◽  
Perinephric Abscess ◽  
Emphysematous Cystitis ◽  
Tract Infections ◽  
Prolonged Antibiotic Therapy

Psoas muscle abscess associated with emphysematous urinary tract infection is very rare. There were very few reports about urinary tract infections such as renal abscess, perinephric abscess, and emphysematous pyelonephritis complicated with psoas muscle abscess; however, psoas muscle abscess associated with emphysematous cystitis has not yet been reported. Here, we report a case of bilateral posas muscle abscess following emphysematous cystitis in an 81-year-old nondiabetic man, who was treated successfully with prolonged antibiotic therapy and supportive care. Early recognition of psoas muscle abscess can prevent aggressive interventional procedure and warrant good prognosis.

scholarly journals Coexistence of Emphysematous Pyelonephritis and Cystitis in a Patient with COVID-19 Complicated with Spontaneous Pneumomediastinum

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Ibrahim Boukhannous ◽  
Anouar El Moudane ◽  
Mehdi Chennoufi ◽  
Mohamed Mokhtari ◽  
Abdelghani Ouraghi ◽  
...  
Keyword(s):  
Acute Respiratory Distress Syndrome ◽  
Distress Syndrome ◽  
Clinical Course ◽  
Emphysematous Pyelonephritis ◽  
Perinephric Abscess ◽  
Emphysematous Cystitis ◽  
Spontaneous Pneumomediastinum ◽  
First Case ◽  
Intravenous Antibiotics ◽  
Uremic Syndrome

We report the first case of a 52-year-old nondiabetic male admitted for management of uremic syndrome associated with emphysematous pyelonephritis (EPN), renal and perinephric abscess, and emphysematous cystitis (EC) on a single functional kidney with a large abundance of spontaneous pneumomediastinum (SP) complicating a SARS-CoV-2 pneumonia. The patient has benefited from several dialysis sessions, intravenous antibiotics, and percutaneous drainage. His clinical course was complicated by acute respiratory distress syndrome, and unfortunately, he died nine days following admission.

Urinary tract infections

2016 ◽  
Author(s):  
M. Estée Török ◽  
Fiona J. Cooke ◽  
Ed Moran
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Acute Pyelonephritis ◽  
Chronic Pyelonephritis ◽  
Perinephric Abscess ◽  
Prostatic Abscess ◽  
Interstitial Inflammation ◽  
Tract Infections ◽  
Granulomatous Prostatitis

This chapter covers cystitis (an infection of the bladder, characterized by dysuria), acute pyelonephritis (an infection of the kidney), chronic pyelonephritis (which is a chronic diffuse interstitial inflammation), renal abscesses (such as perinephric abscess, renal corticomedullary abscess, and renal cortical abscess), catheter-associated urinary tract infections, prostatitis (including granulomatous prostatitis and prostatic abscess), epididymitis, and orchitis.

Emphysematous Cystitis and Pneumoperitoneum in a Dog with Escherichia coli Urinary Tract Infection and Hyperadrenocorticism

2021 ◽  
Author(s):  
Samantha K. Day ◽  
Erin T. Mooney
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Urinary Bladder ◽  
Tract Infection ◽  
Bladder Rupture ◽  
Emphysematous Cystitis ◽  
Abdominal Radiographs ◽  
History Of ◽  
Tract Infections

ABSTRACT A 9 yr old male neutered Staffordshire bull terrier with a history of poorly controlled hyperadrenocorticism, urinary tract infections, and emphysematous cystitis (EC) was presented to a veterinary referral teaching hospital for vomiting. Abdominal radiographs revealed EC and a pneumoperitoneum. The urinary bladder was found to be intact based on ultrasound and a pre- and postiohexol contrast computed tomography study with retrograde contrast cystogram. Urine culture confirmed the presence of a recurrent Escherichia coli urinary tract infection. The patient was managed medically, primarily as an outpatient, and had complete resolution of all problems. This case represents an extremely rare form of EC with pneumoperitoneum, without evidence of concurrent urinary bladder rupture. Only six similar cases have been reported in humans, with no previous cases reported in veterinary medicine. This case demonstrated that surgery is not necessarily indicated in all cases of pneumoperitoneum. The patient remained alive at 2 mo follow-up, with no evidence of recurrence of EC.

scholarly journals Reno-duodenal fistula as a complication of longstanding renal tract calculus

2019 ◽  
Vol 2019 (12) ◽  
pp. 498-501
Author(s):  
William J Owen ◽  
Samuel S Folkard ◽  
Ashish Rohatgi ◽  
Alan Watson ◽  
John L Peters
Keyword(s):  
Urinary Tract ◽  
Management Strategies ◽  
Upper Urinary Tract ◽  
Subsequent Treatment ◽  
Fistula Tract ◽  
Duodenal Fistula ◽  
Perinephric Abscess ◽  
Endoscopic Closure ◽  
Staghorn Calculus ◽  
Tract Infections

Abstract We present a rare case detailing the investigations and subsequent treatment of a lady who presented with a reno-duodenal fistula and perinephric abscess as a complication of staghorn calculus and recurrent upper urinary tract infections. Treatment involved antibiotics, nephrostomy, endoscopic closure of the fistula tract with clips, radiological drain insertion and, ultimately, nephrectomy with primary omental patch closure of the duodenal defect. We discuss the incidence of fistula tract formation as a complication of staghorn calculi, as well as investigations and management strategies employed in the literature to treat such complications, which span from conservative treatment to nephrectomy and closure of the intestinal defect. We illustrate the post-operative complications such patients are prone to and discuss these in context of the case. Whilst such cases are rare clinicians should be vigilant for complications associated with chronic inflammatory processes occurring in the urinary tract and investigate accordingly.

scholarly journals Bilateral pelvic kidneys with upper pole fusion and malrotation: a  case report and  review of the literature

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Hussam S. Khougali ◽  
Omer Ali Mohamed Ahmed Alawad ◽  
Nicholas Farkas ◽  
Mohammed Mahgoub Mirghani Ahmed ◽  
Alnasri Mohammed Abuagla
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Early Recognition ◽  
Left Kidney ◽  
Ct Urography ◽  
Renal Anomalies ◽  
Renal Anomaly ◽  
Recurrent Urinary Tract Infections ◽  
History Of ◽  
Tract Infections

Abstract Background The incidence of ectopic kidneys is 1:12,000 clinically and 1:900 postmortem. Patients with pelvic mal-rotated kidneys are more susceptible to recurrent urinary tract infections, recurrent renal stones, and renal injury. Fusion of the kidney lower poles is relatively common compared to other types of renal anomalies. Case presentation We present the case of a 36-year-old Sudanese female patient who presented with a long history of recurrent urinary tract infections unresponsive to antibiotics. Ultrasound scan revealed bilateral pelvic kidneys. Computed tomography (CT) urography confirmed bilateral ectopic fused kidneys, with the left kidney mal-rotated (renal pelvis facing upwards and laterally). Kidney infection secondary to vesicoureteral reflux was diagnosed. Antibiotics were prescribed according to culture and sensitivity. The patient responded well to ciprofloxacin. Conclusion A history of recurrent urinary tract infections without an apparent cause is highly suggestive of renal anomaly and should be investigated expediently. Ultrasonography or CT imaging may be utilized to aid in diagnosis. Early recognition may help prevent the high risk of end-stage renal failure associated with anomalies.

scholarly journals Emphysematous Cystitis: Report of an Atypical Case

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Karen De Baets ◽  
Joost Baert ◽  
Luc Coene ◽  
Marc Claessens ◽  
Robert Hente ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Tract ◽  
Urinary Tract Obstruction ◽  
Rapid Progression ◽  
Emphysematous Pyelonephritis ◽  
Bladder Drainage ◽  
Atypical Case ◽  
Emphysematous Cystitis ◽  
Bladder Necrosis ◽  
Overall Mortality

We report the atypical case of a nondiabetic 66-year old male with severe abdominal pain and vomiting who was found to have emphysematous cystitis. Of all gas-forming infections of the urinary tract emphysematous cystitis is the most common and the least severe. The major risk factors are diabetes mellitus and urinary tract obstruction. Most frequent causative pathogens areEscherichia coliandKlebsiella pneumoniae. The clinical presentation is nonspecific and ranges from asymptomatic urinary tract infection to urosepsis and septic shock. The diagnosis is made by abdominal imaging. Treatment consists of broad-spectrum antibiotics, bladder drainage, and management of the risk factors. Surgery is reserved for severe cases. Overall mortality rate of emphysematous cystitis is 7%. Immediate diagnosis and treatment is necessary because of the rapid progression to bladder necrosis, emphysematous pyelonephritis, urosepsis, and possibly fatal evolution.

scholarly journals Empyema and Respiratory Failure Secondary to Nephropleural Fistula Caused by Chronic Urinary Tract Infection: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
G. H. Jones ◽  
H. R. Kalaher ◽  
N. Misra ◽  
J. Curtis ◽  
R. J. Parker
Keyword(s):  
Urinary Tract ◽  
Respiratory Failure ◽  
Left Hemithorax ◽  
Perinephric Abscess ◽  
Chronic Urinary Tract Infection ◽  
Breath Sounds ◽  
Resistance Patterns ◽  
Progressive Respiratory Failure ◽  
History Of ◽  
Tract Infections

We report a case of nephropleural fistula causing empyema and respiratory failure in a 68-year-old gentleman with a long history of urological problems including recurrent nephrolithiasis and urinary tract infections. He was admitted with sepsis, a productive cough, pyuria, and reduced breath sounds over the left hemithorax. Radiological imaging revealed a fistulous connection between a left-sided perinephric abscess and the pleural space. He was commenced on broad spectrum intravenous antibiotics but developed progressive respiratory failure requiring intensive care admission. Urinary and pleural aspirates cultured facultative anaerobic pathogens with identical resistance patterns. Drainage of thoracic and perinephric collections was carried out, allowing him to be extubated after 24 hours and discharged home after 18 days on an extended course of oral antibiotics. Left nephrectomy is now planned after a period of convalescence. Empyema developing in patients with known urolithiasis should alert the treating physician to the possibility that a pathological communication has formed especially if typical urinary tract pathogens are cultured from respiratory sampling.

scholarly journals A Different Presentation of Urinary Tract Infections: Emphysematous Cystitis

2013 ◽  
Vol 4 (4) ◽  
pp. 0-0 ◽  
Author(s):  
Mehmet Ergin ◽  
Ertan Atabey ◽  
Ersin Atabey ◽  
Ibrahim Erdem Gokmen ◽  
Fatih Emin Visneci ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Emphysematous Cystitis ◽  
Tract Infections
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