Peer-reviewed veterinary case report
Case report: Emphysematous cystitis due to Escherichia coli infection with the extension of gas into multiple locations in two non-diabetic dogs: a computed tomographic diagnosis and successful management
- Journal:
- Frontiers in Veterinary Science
- Year:
- 2023
- Authors:
- Eun-Ji Lee et al.
- Affiliation:
- Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chungnam National University, Daejeon, Republic of Korea · CH
- Species:
- dog
Plain-English summary
Two dogs, a 7-year-old spayed female Pomeranian and a 9-year-old spayed female Jindo, were diagnosed with a rare urinary tract infection called emphysematous cystitis, which involves gas forming in the bladder due to a bacterial infection from Escherichia coli. The Pomeranian had been experiencing blood in her urine and needing to urinate more often for three days, while the Jindo had intermittent blood in her urine for four days. Both dogs underwent various imaging tests and bacterial cultures to confirm the diagnosis. They were treated with antibiotics based on test results, and both showed excellent improvement, with their symptoms completely resolving within about a month and no signs of recurrence afterward.
Abstract
Emphysematous cystitis is an extremely rare, complicated urinary tract infection with the presence of gas in the bladder wall and lumen caused by gas-producing bacterial infections. A 7-year-old spayed female pomeranian dog was presented with a 3-day history of hematuria and pollakiuria (case 1), and a 9-year-old spayed female jindo dog was presented with a 4-day history of intermittent hematuria (case 2). Imaging modalities, including radiography, ultrasonography, and computed tomography, and bacterial culture tests were used for the diagnosis. Emphysematous cystitis due to Escherichia coli infection with the extension of gas into multiple locations was identified in both cases. Based on the results of antibiotic susceptibility testing, systemic antibiotics were initiated. Both animals had an excellent response to antibiotic treatment, and the clinical signs of the gas collection were completely resolved within ~1 month after treatment initiation. This response was sustained without recurrence in the follow-up period. This case report describes clinical details of extremely rare canine cases of emphysematous cystitis with the extension of gas into multiple locations and evaluates the clinical efficacy of antibiotic therapy.
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Search related cases →Original publication: https://doi.org/10.3389/fvets.2023.1196006