Medicine in Images
Emphysematous cystitis
Cistitis enfisematosa
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Igúzquiza Pellejero, I. Torres Courchoud, M.E. Navarro Aguilar" "autores" => array:3 [ 0 => array:4 [ "nombre" => "M.J." "apellidos" => "Igúzquiza Pellejero" "email" => array:1 [ 0 => "mjiguzquiza@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "I." "apellidos" => "Torres Courchoud" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "M.E." "apellidos" => "Navarro Aguilar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital Reina Sofia, Tudela, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cistitis enfisematosa" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2640 "Ancho" => 2167 "Tamanyo" => 414928 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An 86-year-old female patient with a history of Alzheimer’s disease and type 2 diabetes mellitus, referred for fever, abdominal pain, predominantly in the hypogastrium, and sleepiness of 48 h since onset. She was assessed in the Emergency Department for a suspected urinary infection. Lab testing was ordered and showed leucocytosis with left shift together with pyuric urinary sediment. Assessment was completed with abdominal radiography showing a radiolucent line surrounding the bladder wall, leading to the presumptive diagnosis of emphysematous cystitis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The urine culture was positive for susceptible <span class="elsevierStyleItalic">Escherichia coli</span>, with positive response to antibiotic treatment first with ceftriaxone and completed with cefditoren.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Emphysematous cystitis is a rare complication of lower urinary tract infection. It is associated with the female sex, type 2 diabetes mellitus, or chronic urinary tract infections. Its pathogenesis is unclear; however, it has been suggested that impaired tissue perfusion, the presence of gas-forming bacteria, and glycosuria may promote development. Its clinical characteristics are non-specific, so diagnosis is based on clinical suspicion and is confirmed via imaging techniques including plain abdominal radiography and computed tomography, which presents better specificity and allows differential diagnoses to be ruled out. Management involves administering targeted antibiotic therapy. Prognosis is favourable in most cases, with mortality of about 7–14% depending on the patient’s comorbidities.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-11-20" "fechaAceptado" => "2019-11-21" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Igúzquiza Pellejero MJ, Torres Courchoud I, Navarro Aguilar ME. Cistitis enfisematosa. Rev Clin Esp. 2021;221:612.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2640 "Ancho" => 2167 "Tamanyo" => 414928 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022100000010/v1_202111270653/S2254887421000461/v1_202111270653/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022100000010/v1_202111270653/S2254887421000461/v1_202111270653/en/main.pdf?idApp=WRCEE&text.app=https://www.revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887421000461?idApp=WRCEE" ]
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