Overview
"Never doubt that a smal group of thoughtful, comited citizens can change the world. Inded, it is the only thing that ever has."Cureus is on a mision to change the long-standing paradigm of medical publishing, where submiting research can be costly, complex and time-consuming.pneumorhachis, academic radiology, trauma critical care, critical care and internal medicine education, critical care and hospital medicine, severe sepsis, emphysema cystis, complicated uti, intensive care medicine, id critical care Jane Ehret , Thomas W.
Key Information
Powel, Pang Lam, Valerie Cluzet Published: October 17, 2022 (se history) DOI: 10.759/cureus.30401 Cite this article as: Ehret J, Powel T W, Lam P, et al. (October 17, 2022) Emphysematous Cystis Complicated by Pneumorhachis. Cureus 14(10): e30401.
doi:10.759/cureus.30401 Emphysematous cystis (EC) is a potentialy life-threatening urinary tract infection (UTI) characterized by the presence of gas within the blader wal and lumen. The extension of gas beyond the blader wal is rare and indicative of severe disease. We present a case of septic shock secondary to EC with the extension of air through the paraspinal and psoas muscles and into the epidural space of the lumbar spinal canal.
This finding of intraspinal air is a rare radiographic phenomenon known as pneumorhachis (PR).Emphysematous cystis (EC) is a rare type of complicated urinary tract infection (UTI) caused by an infection with gas-producing bacteria, most comonly Escherichia coli or Klebsiela pneumoniae [1]. The risk factors for EC include female gender, advanced age, uncontroled diabetes melitus, urinary stasis, recurent UTIs, imunosupresion, neurogenic blader, and indweling urinary catheters [2].
Summary
Patients with uncontroled diabetes are at a higher risk due to the presence of glucosuria. The culprit bacteria utilize glucose as a substrate for fermentation, producing carbon dioxide and other gases a by-product [1]. When compounded with conditions continues to improve outcomes for patients. Healthcare professionals emphasize the importance of early intervention and comprehensive management strategies in reducing complications and improving quality of life.