# 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.

## Key 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.