A Case of Emphysematous Cystitis after Treatment for Depression
Journal Title: Scholars Journal of Medical Case Reports - Year 2016, Vol 4, Issue 10
Abstract
Abstract:A 70-year-old female patient underwent an infusion of clomipramine and was admitted to the psychiatry department of our hospital because she could not eat. She had a history of depression and diabetes mellitus. On the evening of that day, she had a fever. The following day, she underwent whole body computed tomography to detect the focus of inflammation, which depicted diffuse air bubbles within the bladder wall, suggesting potentially life-threatening, emphysematous cystitis (EC). An infusion of piperacillin-tazobactam was initiated and an indwelling catheter was inserted into the bladder. On the third day of hospitalization, her blood pressure, respiratory condition and consciousness deteriorated, and she was transferred to the intensive care unit. She was diagnosed with septic shock with multiple organ failure including takotsubo cardiomyopathy, induced by emphysematous cystitis and continuous treatment with antibiotics along with mechanical ventilation and noradrenalin support were provided. Her multiple organ failure gradually improved even she became temporally cardiac arrest. After she became able to eat for herself and walk with assistance, she was transferred to another hospital for rehabilitation. The patient was an elderly woman with diabetes mellitus, thus these factors might have affected the occurrence of EC. It is also possible that it was a side effect of the administration of tricyclic or tetracyclic antidepressants, because these antidepressants have side effects such as urinary hesitancy, dysuria and urinary retention. Keywords:emphysematous cystitis; diabetes mellitus; antidepressant.
Authors and Affiliations
Kei Jitsuiki, Hiromichi Ohsaka, Ikuto Takeuchi, Toshihiko Yoshizawa, Kouhei Ishikawa, Kazuhiko Omori,, Youichi Yanagawa
Keywords
Related Articles
- EP ID EP374501
- DOI -
- Views 59
- Downloads 0
Amnion Nodosum- A Rare Care Report
Abstract: Amnion nodosum (AN) is an entity characterized by multiple, localised lesions of amnion, composed of masses of squamoid cells and fibrin adherent to amniotic mesoderm. These nodules were previously called Amnio...
Unusual Presentation of Arthritis in an Immunodefecient Child
Arthritis may be the first clinical manifestation of primary hypogammaglobulinaemia. We report a case of primary hypogammaglobulinemia who presented with migratory polyarthritis and sore throat. The diagnosis of primary...
Chronic Suppurative Osteomyelitis of the Mandible: Case Report and Review.
Osteomyelitis is a challenging disease for clinicians and patients despite the many advances in diagnosis and treatment. Chronic suppurative osteomyelitis (CSO) of the mandible is often considered difficult to treat. Se...
Dissecting aorta diagnosed by CTA
52 years old male patient came to the hospital suffering from severe chest pain; CT thoracic aorta angiogram was requested. The result of the CTA showed that there is aortic dissection in the arch of the aorta. Keywords:...
A Lethal Case of Thoracic Aortic Dissection with Bilateral Patellar Subluxation Likely Due To Ehlers-Danlos Syndrome
Abstract:A 42-year-old male spontaneously fell down in front of his wife. His past medical history included gastroesophageal reflux disease (GERD) and hypertension without receiving medication. Upon arrival, he was in...