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Emphysematous cystitis due to Klebsiella pneumoniae

Mohammad Bagherirad and Hasan Al-Khayyat
Med J Aust 2013; 198 (9): 506. || 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.

  • Mohammad Bagherirad1
  • Hasan Al-Khayyat2

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


Acknowledgements: 

We thank Andrew Hughes and Eugene Athan, our supervisors.

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