Abstract
Type 2 diabetes mellitus (T2DM) is often accompanied by a lot of complications due to chronic hyperglycemia and inflammation. Emphysematous cystitis and pyelonephritis are rare types of urinary tract infections and are often complicated with DM. Herein, we report a case of emphysematous cystitis and pyelonephritis complicated with untreated DM. In addition, this case was very rare and interesting in that her emphysematous cystitis and pyelonephritis were induced by severe uterine prolapse, obstructive uropathy and urination disorders. Both uterine prolapse and DM should be appropriately treated because both can lead to the development of emphysematous cystitis and pyelonephritis.
Highlights
Type 2 diabetes mellitus (T2DM) is often accompanied by a lot of complications due to chronic hyperglycemia and inflammation
This case is very rare and interesting in that her emphysematous cystitis and pyelonephritis were induced by severe uterine prolapse, obstructive uropathy and urination disorders
Her glycemic control was poor, we think her emphysematous cystitis and pyelonephritis were, at least in part, associated with obstructive uropathy and urination disorders which were caused by severe uterine prolapse
Summary
Type 2 diabetes mellitus (T2DM) is often accompanied by a lot of complications due to chronic hyperglycemia and inflammation. The most causative bacteria are Escherichia coli which can cause septic shock and/or disseminated intravascular coagulation (DIC) and sometimes lead to death Urination disorders such as neurogenic bladder complicated with DM can lead to the development of emphysematous cystitis and pyelonephritis. At the age of 70, she was diagnosed with complete eversion of uterine prolapse and type 2 diabetes mellitus (T2DM), but she hesitated to get any medical treatment Her vital signs were as follows: temperature, 36.8◦C; blood pressure, 96/50 mmHg; heart rate, 30 beats/min; oxygen saturation, 84 % (room air).
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