AI Article Synopsis
- A case report discusses a 28-year-old woman with type 1 diabetes and autonomic neuropathy who developed a rare infection called emphysematous cystitis, caused by Escherichia coli.
- Emphysematous cystitis is characterized by gas in the bladder, primarily affecting older women with type 2 diabetes, and can be complicated by factors like neuropathy and immune weakness.
- Diagnostic challenges arose due to gastrointestinal symptoms and imaging difficulties, but a CT scan ultimately led to the correct diagnosis and treatment; this may be the first reported case of its kind in Poland.
Article Abstract
A case report of 28 year old female with medical history of bed controlled type 1 diabetes mellitus complicated by autonomic neuropathy in the form of gastroparesis, suffered by emphysematous cystitis caused by Escherichia coli was described. Emphysematous cystitis is a rare urinary tract infection connected with the presence of gas in the bladder lumen or/and within the bladder wall, which occurs mainly in women, in older age, suffering from type 2 diabetes, complicated by microangiopathy, neuropathy, with urinary tract obstruction and weakness of immunity system. Diagnostic difficulties and the delay in correct diagnosis in described case were caused by the dominated complaint of the upper gastrointestinal tract and difficulties in interpretation of imaging methods, such as abdominal X-ray and ultrasound scan. Eventually the use of computed tomography allowed to achieved an accurate diagnosis and choose appropriate treatment. It is possible that this is the first case of emphysematous cystitis described in Poland.
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