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Emphysematous cystitis due to Klebsiella pneumoniae

Mohammad Bagherirad and Hasan Al-Khayyat
Med J Aust 2013; 198 (9): . || doi: 10.5694/mja12.11387
Published online: 20 May 2013

A 72-year-old woman with type 2 diabetes mellitus presented with sudden-onset back pain, fever, rigors and suprapubic tenderness. An abdominal x-ray and pelvic computed tomography scan (Figure) confirmed the diagnosis of emphysematous cystitis. Klebsiella pneumoniae was cultured from blood and urine samples, and the patient was treated with intravenous cephazolin followed by oral cephalexin. She had a complete recovery.


  • Department of Infectious Diseases, Geelong Hospital, Geelong, VIC.



Acknowledgements: 

We thank Andrew Hughes and Eugene Athan, our supervisors.

  • 1. Quint HJ, Drach GW, Rappaport WD, Hoffmann CJ. Emphysematous cystitis: a review of the spectrum of disease. J Urol 1992; 147: 134-137.
  • 2. Ankel F, Wolfson AB, Stapczynski JS. Emphysematous cystitis: a complication of urinary tract infection occurring predominantly in diabetic women. Ann Emerg Med 1990; 19: 404-406.
  • 3. Weddle J, Brunton B, Rittenhouse DR. An unusual presentation of emphysematous cystitis. Am J Emerg Med 1998; 16: 664-666.

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