Aidan: Created page with "== Background == === Microbiology === * Escherichia coli (most common) * Klebsiella pneumonia * Also Proteus, Enterococcus, Pseudomonas, Clostridium,..."

2021-03-17T01:32:59Z

Created page with "== Background == === Microbiology === * Escherichia coli (most common) * Klebsiella pneumonia * Also Proteus, Enterococcus, Pseudomonas, Clostridium,..."

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== Background ==

=== Microbiology ===

* [[Escherichia coli]] (most common)
* [[Klebsiella pneumonia]]
* Also [[Proteus]], [[Enterococcus]], [[Pseudomonas]], [[Clostridium]], and rarely [[Candida]]

=== Risk Factors ===

* [[Diabetes mellitus]] (60-70% of patients)
* Urinary tract obstruction
* Women

== Clinical Manifestations ==

* Mostly in older women with diabetes
* Abdominal pain is most common symptom
* About half have classic signs of [[cystitis]]
* May have pneumaturia after bladder catheterization
* Urinalysis shows pyuria and hematuria with positive cultures

== Differential Diagnosis ==

* Air within the bladder wall may occur from gastrointestinal fistulas

== Diagnosis ==

* Usually made radiographically on X-ray or CT

== Management ==

* Often managed medically with antibiotics
* Duration depends on clinical response, but usually 7 to 14 days
* May need bladder irrigation if blood clots, or catheterization if difficulty voiding
* Rarely needs surgical intervention for debridement or cystectomy

[[Category:Genitourinary infections]]

Emphysematous cystitis - Revision history

Aidan: Created page with "== Background == === Microbiology === * Escherichia coli (most common) * Klebsiella pneumonia * Also Proteus, Enterococcus, Pseudomonas, Clostridium,..."