Pneumaturia and kidney polycystosis in adults
pneumaturia y poliquistosis renal en el adulto
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=> "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "22118078_f1_p184.jpg" "Alto" => 203 "Ancho" => 259 "Tamanyo" => 10613 ] ] ] ] "textoCompleto" => "<p class="elsevierStylePara">Dear Editor,</p><p class="elsevierStylePara">The case of a 70 year old woman is presented that was diagnosed with adult polycystic kidney disease, and that began long term haemodialysis four months earlier. Hospitalization was considered necessary due to the persistence of a constitutional syndrome, resistance to erythropoietin, anaemia, etc. In the anamnesis, the patient described the expulsion of air after urinating, without any other signs or symptoms. A urine culture grew <span class="elsevierStyleItalic">E. coli</span>. In an abdominal Computerised Axial Tomography (CAT) the presence of gas in the bladder and in the left urine collecting system is observed, which is frankly unusual (figure 1). Treatment was started with ciprofloxacin for 12 days and a urethral catheter was inserted, with complete clinical and radiological remission and a negative urine culture.</p><p class="elsevierStylePara">The enphysematose cystitis is defined as the formation of gas inside of the bladder, which could extend into other parts of the urinary tract.<span class="elsevierStyleSup">1,2</span> In general, the clinical manifestations are related to voiding, with haematuria and hypogastric pain. In at least half of the cases, the patients are diabetic.<span class="elsevierStyleSup">3</span> Treatment with antibiotics and a urinary catheter is not always effective, making surgery necessary in certain occasions,<span class="elsevierStyleSup">4</span> depending greatly on the speed of the therapeutical intervention. In our case, the guiding symptomatology of the process helped to resolve the case. We do not know if there is some link between the adult polycystic kidney disease and the presence of emphysematose cystitis, as we have yet to find bibliographic support in this regard. This has been described in patients on haemodialysis.<span class="elsevierStyleSup">5 </span>The risk of ascending infection in this particular case must be mentioned.</p><p class="elsevierStylePara"><a href="grande/22118078_f1_p184.jpg" class="elsevierStyleCrossRefs"><img src="22118078_f1_p184.jpg"></img></a></p><p class="elsevierStylePara">Figure 1. </p>" "pdfFichero" => "P-E-S-A221-EN.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "22118078_f1_p184.jpg" "Alto" => 203 "Ancho" => 259 "Tamanyo" => 10613 ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Mokkabberi R, Ravakhah K. Emphysematous urinary tract infections: Diagnosis, treatment and survival. Am J Med Sci Feb; 333 (2): 111-6, 2007" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Thomas AA, Lane BR, Thomas AZ, Remer EM, Campbell SC, Shoskes DA. Emphysematous cystitis: a review of 135 cases. BJU Int. Jul 100 (1): 17-20, 2007" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Tang SC, Chu FS, Au WM, Lai KN. Emphysematous cystitis. Am J Kidney Dis Aug; 48 (2): e 11-2, 2006" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Conesa MD, Ponz E, Prats J, Almirall J. Pielonefritis enfisematosa bilateral. Nefrología. Vol XV. Num 5, 1995" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Yokoo T, Awai T, Yamazaki H, Fukuda Y, Hayashi F, Hosoya T. Emphysematous cystitis complication in a patient undergoing hemodialysis. Clin Exp Nephrol. Sep; 11(3): 247-50, 2007" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:1 [ "itemHostRev" => array:3 [ "pii" => "S0021915013007843" "estado" => "S300" "issn" => "00219150" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000002900000002/v0_201502091631/X2013251409005029/v0_201502091631/en/main.assets" "Apartado" => array:4 [ "identificador" => "35436" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002900000002/v0_201502091631/X2013251409005029/v0_201502091631/en/P-E-S-A221-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251409005029?idApp=UINPBA000064" ]
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