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Emphysematous Cystitis Combined with Prostatic Abscess and Hematogenous Spread of Infection to the Lung and Liver in a Diabetic Patient
Urogenit Tract Infect 2017 Dec;12(3):130-3
Published online December 31, 2017
Copyright © 2017 Korean Association of Urogenital Tract Infection and Inflammation.

Jangwon Lee, Harin Rhee, Il Young Kim1, Eun Young Seong, Dong Won Lee1, Soo Bong Lee1, Ihm Soo Kwak, Sang Heon Song

Biomedical Research Institute and Department of Internal Medicine, Pusan National University Hospital, Busan, 1Research Institute for Convergence of Biomedical Science and Technology and Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea
Correspondence to: Sang Heon Song
http://orcid.org/0000-0002-8218-6974
Department of Internal Medicine, Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea
Tel: +82-51-240-7875, Fax: +82-51-240-7898, E-mail: shsong0209@gmail.com
Received August 3, 2017; Revised August 25, 2017; Accepted August 28, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Coexistence of emphysematous cystitis and prostatic abscess are rare occurrences. Here, we report a case of emphysematous cystitis and prostatic abscess in a 65-year-old man with a 5-year history of diabetes mellitus. This case was further complicated by the hematogenous spread of Klebsiella pneumoniae infection from the prostatic abscess to the liver and lung. Computed tomography (CT) imaging revealed a localized gas within the urinary bladder and swelling of the prostate, with fluid accumulation. Multiple low-density lesions were observed in liver segments S3, S4, and S7, suggestive of an inflammatory process. Chest CT scan revealed multiple cavitatory nodules of various sizes, with a ground glass appearance of both lung fields, which suggest septic emboli from severe uro-septicemia. The optimal antibiotic therapy was administered, and a holmium laser enucleation of the prostate operation was subsequently performed. On day 37 post-admission, the patient was discharged in a good condition, without any sequelae.
Keywords : Prostatic abscess; Emphysematous cystitis; Septic emboli


April 2018, 13 (1)

  • The official journal of

    The Korean Association of Urogenital Tract Infection and Inflammation

    The Korean Continence Society

    The Han-nam Urological Association

    The Korean Society of Geriatric Urological Care