Severe combined emphysematous infections of the urinary tract in a diabetic patient: A case report

TL;DR

A diabetic man developed severe gas-filled infections in his urinary tract, highlighting the need for quick diagnosis and treatment to prevent death.

Contribution

This case report adds to the understanding of rare, severe emphysematous infections in diabetic patients.

Findings

The patient had multiple emphysematous infections including pyelonephritis and cystitis.

Early imaging and multidisciplinary care were critical in managing the condition.

The case emphasizes the risk in diabetic and immunocompromised individuals.

Abstract

Emphysematous infections of the urinary tract are rare but life-threatening conditions, most commonly affecting diabetic and immunocompromised patients. We report a case of a 55-year-old male with uncontrolled type 2 diabetes and chronic alcoholism who presented in septic shock. CT imaging revealed emphysematous pyelonephritis, emphysematous cystitis, a pelvic abscess in the recto-vesical pouch, and bilateral periurethral prostatic abscesses. The case illustrates the importance of early imaging, prompt diagnosis, and multidisciplinary management in preventing fatal outcomes.

Figures