Campos Jaime E, Martinez Phia A, Rangwala Umme Salma, Fazli Wolfut, Rey Carlos
Infectious Disease, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Internal Medicine, American University of Antigua, St. John's, ATG.
Cureus. 2022 Sep 27;14(9):e29651. doi: 10.7759/cureus.29651. eCollection 2022 Sep.
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 is the most common causative pathogen.
气肿性尿路感染（EUTIs）是一种罕见、严重的化脓性感染，可累及尿路的各个部位。我们报告一例75岁男性病例，该患者因血尿和全身无力入院，患有未控制的糖尿病（DM）和高血压。入院第二天，他的新冠病毒检测呈阳性。腹部和盆腔的非增强CT显示左肾实质、左输尿管壁和膀胱内有气体，确诊为气肿性尿路感染。患者接受了静脉抗生素治疗，未进行任何手术干预，四周后病情稳定，并被转至长期急性护理（LTAC）机构。糖尿病是气肿性尿路感染最常见的危险因素，也是最常见的致病病原体。
