PDF(Pubmed)
Abstract：
Emphysematous urinary tract infections (EUTIs) are rare, severe, and suppurative infections affecting various parts of the urinary tract. We report a case of a 75-year-old male presenting with hematuria and generalized weakness with uncontrolled diabetes mellitus (DM) and hypertension. He tested positive for COVID-19 on the second day of hospital admission. A non-contrast-enhanced CT of the abdomen and pelvis revealed gas within the left renal parenchyma, walls of the left ureter, and urinary bladder, establishing the diagnosis of EUTIs. The patient was treated using intravenous antibiotics without any surgical intervention, and four weeks later was stable and transported to long-term acute care (LTAC) facility. DM is the most common risk factor for the development of EUTIs and Escherichia coli is the most common causative pathogen.
摘要：
气肿性尿路感染（EUTIs）很少见，严重,和化脓性感染影响泌尿道的各个部位。我们报告了一例75岁的男性，表现为血尿和全身无力，伴有不受控制的糖尿病（DM）和高血压。入院第二天，他的COVID-19检测呈阳性。腹部和骨盆的非增强CT显示左肾实质内气体，左输尿管壁,和膀胱，建立EUTI的诊断。患者使用静脉注射抗生素治疗，没有任何手术干预，四周后病情稳定，并被送往长期急性护理（LTAC）机构。DM是EUTIs发展的最常见危险因素，大肠杆菌是最常见的致病病原体。
