A case of alcohol-related emphysematous cystitis

Keywords: emphysematous cystitis, alcohol, infection, infectious disease, urinary tract.

Abstract

Emphysematous cystitis (EC) is a very rare urinary tract infectious disease that can be fatal if not treated. In general, it frequently occurs in diabetic women and is thought to be associated with gas-producing bacteria. Type 2 diabetes mellitus, immunosuppression, drugs (mostly steroids), neurogenic bladder and instrumentation are the major risk factors of this type of infection.

We present a case of emphysematous cystitis in a 53-year-old male, in which the patient does not have any classical risk factors associated with EC other than alcohol consumption. To the best of our knowledge, the only case in the literature where this type of infection develops without a classical risk factor and negative urine culture. It is also one of the rare EC cases that may be associated with alcohol use.

Downloads

Download data is not yet available.

References

Bailey H. Cystitis emphysematosa: 19 cases with intraluminal and interstitial collections of gas. Am J Roentgenol Radium Ther Nucl Med. 1961;86:850–62.

Quint HJ, Drach GW, Rappaport WD, Hofmann CJ. Emphysematous Cystitis: A Review of the Spectrum of Disease. J Urol 1992;147:134-7. doi.org/10.1016/S0022-5347(17)37160-4.

Bobba RK, Arsura EL, Sarna PS, Sawh AK. Emphysematous cystitis: an unusual disease of the Genito-Urinary system suspected on imaging. Ann Clin Microbiol Antimicrob. 2004 Oct 5;3:20. doi: 10.1186/1476-0711-3-20.

Grupper M, Kravtsov A, Potasman I. Emphysematous cystitis: illustrative case report and review of the literature. Medicine (Baltimore). 2007;86:47-53. doi:10.1097/MD.0b013e3180307c3a

Mikell JL, Herr K, Barron BJ. Unusual case of emphysematous cystitis seen on FDG PET/CT. Clin Nucl Med. 2013;38:e143–5. doi: 10.1097/RLU.0b013e318263927a.

Thomas AA, Lane BR, Thomas AZ, et al Emphysematous cystitis; a review of 135 cases. BUJ Int 2007, 100(1):17–20. doi: 10.1111/j.1464-410X.2007.06930.x

Yoshimatsu Y, Takai T, Abe Y, Nakagawa T . The Presence of Venous Gas Does Not Affect the Prognosis in Emphysematous Cystitis. Intern Med. 2017;56(6):637-640. doi:10.2169/internalmedicine.56.7601.

Hashimoto T, Namiki K, Tanaka A, Shimodaira K, Gondo T, Tachibana M Emphysematous cystitis following a transrectal needle guided biopsy of the prostate. BMC Infect Dis. 2012 Nov 26;12:322. doi: 10.1186/1471-2334-12-322.

Sharma R, Mitra SK, Choudhary A, Majee P. Emphysematous cystitis-gas in bladder: a rare urological emergency. BMJ Case Rep. 2015 Jul 23;2015. pii: bcr2015210836. doi: 10.1136/bcr-2015-210836.

 H Joe Wang, Samir Zakhari, and M Katherine Jung.  Alcohol, inflammation, and gut-liver-brain interactions in tissue damage and disease development. World J Gastroenterol. 2010 Mar 21; 16(11): 1304-13. doi: 10.3748/wjg.v16.i11.1304.

 Mandrekar P, Bala S, Catalano D, Kodys K, Szabo G. The opposite effects of acute and chronic alcohol on lipopolysaccharide-induced inflammation are linked to IRAK-M in human monocytes. J Immunol. 2009 Jul 15;183(2):1320-7. doi: 10.4049/jimmunol.0803206.

Jacob A, Alagusundaramoorthy SS, Verma I, Bodala D. Unusual association of emphysematous cystitis and chronic alcoholism. BMJ Case Rep. 2017 Mar 16;2017:bcr2017219594. doi: 10.1136/bcr-2017-219594.

Al-Assiri M, Chan P. Incidental discovery of emphysematous cystitis with rapid resolution in a patient presenting with acute pancreatitis. ScientificWorldJournal. 2004 Sep 30;4:881-4. doi: 10.1100/tsw.2004.138.


Abstract views: 628
PDF Downloads: 19872
Published
2019-12-04
How to Cite
Sancı, A., Aydoğ, E., Karaburun, M., & Süer, E. (2019). A case of alcohol-related emphysematous cystitis. Ukrainian Journal of Nephrology and Dialysis, (1(65), 3-6. https://doi.org/10.31450/ukrjnd.1(65).2020.01