Emphysematous cystitis and necrotizing fasciitis

Authors

Peter Zhan Tao Wang, Schulich School of Medicine & DentistryFollow
Paul R. Martin, Schulich School of Medicine & Dentistry
Patrick P.W. Luke, Schulich School of Medicine & Dentistry

Document Type

Article

Publication Date

7-1-2014

Journal

Canadian Urological Association Journal

Volume

8

Issue

7-8

First Page

e498

Last Page

e499

URL with Digital Object Identifier

10.5489/cuaj.1865

Abstract

Emphysematous cystitis is an uncommon and often severe infectious condition of the bladder that usually affects women and diabetics. We report a case of a 62-year-old male patient who presented with concomitant emphysematous cystitis and necrotizing fasciitis of the right leg. The patient was initially managed with emergent disarticulation of the right leg. Tissue cultures were positive for Ciprofloxacin-resistant Klebsiella pneumoniae. He was treated with Piperacillin-Tazobactam; however, due to the failure of conservative management of the condition, the patient underwent a cystoprostatectomy with ileal conduit. To our knowledge, this is the first report of concomitant emphysematous cystitis and necrotizing fasciitis requiring aggressive surgical intervention for both diseases.