{"id":7519,"date":"2022-11-22T13:00:22","date_gmt":"2022-11-22T10:00:22","guid":{"rendered":"https:\/\/urbancare.clinic\/emphysematous-cystitis-in-a-haemodialysis-patient\/"},"modified":"2023-05-23T17:37:34","modified_gmt":"2023-05-23T14:37:34","slug":"cystite-emphysemateuse-chez-un-patient-hemodialyse","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/fr\/emphysematous-cystitis-in-a-haemodialysis-patient\/","title":{"rendered":"Cystite emphys\u00e9mateuse chez un patient h\u00e9modialys\u00e9"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/emphysematous-cystitis-in-a-haemodialysis-patient.jpg\" class=\"ff-og-image-inserted\"  style=\"display:none\"><\/div>\n<p><span class=\"highwire-journal-article-marker-start\"><\/span><\/p>\n<p id=\"p-1\">Une femme dans la fin des ann\u00e9es 70 sous h\u00e9modialyse avec un diab\u00e8te de type 2 et une polyang\u00e9ite microscopique a \u00e9t\u00e9 admise pour le traitement d&#039;une pouss\u00e9e de vascularite. Un jour, le patient a d\u00e9velopp\u00e9 des douleurs abdominales et de la fi\u00e8vre. Les signes vitaux montraient une temp\u00e9rature corporelle de 39,0\u00b0, une tension art\u00e9rielle de 90\/52 mm Hg et une fr\u00e9quence cardiaque de 118 battements\/min. Une sensibilit\u00e9 a \u00e9t\u00e9 not\u00e9e dans le bas-ventre. L&#039;analyse d&#039;urine a montr\u00e9 un nombre de globules rouges et blancs&gt; 50 par champ de haute puissance, et des b\u00e2tonnets gram-n\u00e9gatifs ont \u00e9t\u00e9 d\u00e9tect\u00e9s dans l&#039;urine par Gram \u2026 <\/p>\n<p><span class=\"highwire-journal-article-marker-end\"><\/span><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/e34?rss=1\">Source quotidienne m\u00e9dicale<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p>Une femme d\u2019une soixantaine d\u2019ann\u00e9es sous h\u00e9modialyse avec un diab\u00e8te de type 2 et une polyang\u00e9ite microscopique a \u00e9t\u00e9 admise pour le traitement d\u2019une pouss\u00e9e de vascularite. Un jour, le patient a d\u00e9velopp\u00e9 des douleurs abdominales et de la fi\u00e8vre. Les signes vitaux montraient une temp\u00e9rature corporelle de 39,0\u00b0, une tension art\u00e9rielle de 90\/52 mm Hg et une fr\u00e9quence cardiaque de 118 battements\/min. Une sensibilit\u00e9 a \u00e9t\u00e9 not\u00e9e dans le bas-ventre. L&#039;analyse d&#039;urine a montr\u00e9 un nombre de globules rouges et blancs &gt; 50 par champ de puissance \u00e9lev\u00e9e, et des b\u00e2tonnets Gram n\u00e9gatifs ont \u00e9t\u00e9 d\u00e9tect\u00e9s dans l&#039;urine par coloration de Gram. Alors que le patient et les infirmi\u00e8res avaient remarqu\u00e9 des urines brun rouge\u00e2tre 2 jours auparavant, ils consid\u00e9raient qu&#039;il s&#039;agissait d&#039;un signe normal chez les patients h\u00e9modialys\u00e9s. Le scanner a r\u00e9v\u00e9l\u00e9 un emphys\u00e8me de la paroi v\u00e9sicale (<cross-ref type=\"fig\" refid=\"F1\">figure 1A<\/cross-ref>). Nous avons initi\u00e9 le m\u00e9rop\u00e9nem 1 g\/jour avec un diagnostic de cystite emphys\u00e9mateuse. Cependant, malgr\u00e9 les soins intensifs, le patient est d\u00e9c\u00e9d\u00e9 un jour plus tard des suites d&#039;un choc septique. L&#039;urine et l&#039;h\u00e9moculture ont montr\u00e9 une production de \u03b2-lactamase \u00e0 spectre \u00e9tendu. <i>Escherichia coli<\/i>. Une autopsie a r\u00e9v\u00e9l\u00e9\u2026<\/p>","protected":false},"author":2,"featured_media":7520,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"page_builder":"","fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/emphysematous-cystitis-in-a-haemodialysis-patient.jpg","fifu_image_alt":"","footnotes":""},"categories":[185],"tags":[198],"class_list":["post-7519","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-medical-articles","tag-blood-pressure"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Emphysematous cystitis in a haemodialysis patient - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/fr\/cystite-emphysemateuse-chez-un-patient-hemodialyse\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Emphysematous cystitis in a haemodialysis patient - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"A woman in her late 70s on haemodialysis with type-2 diabetes and microscopic polyangiitis was admitted for treatment of a flare-up of vasculitis. One day, the patient developed abdominal pain and fever. Vital signs showed a body temperature of 39.0&deg;, a blood pressure of 90\/52 mm Hg and a heart rate of 118 beats\/min. Tenderness was noted in the lower abdomen. Urinalysis showed red and white cell counts &gt;50 per high power field, and gram-negative rods were detected in the urine by Gram staining. While the patient and nurses had noticed reddish-brown urine 2 days prior, they considered it a normal sign in haemodialysis patients. CT revealed urinary bladder wall emphysema (figure 1A). We initiated meropenem 1 g\/day with a diagnosis of emphysematous cystitis. However, despite receiving intensive care, the patient died 1 day later due to septic shock. Urine and blood culture showed extended-spectrum &beta;-lactamase-producing Escherichia coli. An autopsy revealed...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/fr\/cystite-emphysemateuse-chez-un-patient-hemodialyse\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2022-11-22T10:00:22+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-23T14:37:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/emphysematous-cystitis-in-a-haemodialysis-patient.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/emphysematous-cystitis-in-a-haemodialysis-patient\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/emphysematous-cystitis-in-a-haemodialysis-patient\\\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#\\\/schema\\\/person\\\/a304a61bcf298680ee41e2e9ae193930\"},\"headline\":\"Emphysematous cystitis in a haemodialysis patient\",\"datePublished\":\"2022-11-22T10:00:22+00:00\",\"dateModified\":\"2023-05-23T14:37:34+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/emphysematous-cystitis-in-a-haemodialysis-patient\\\/\"},\"wordCount\":90,\"publisher\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/emphysematous-cystitis-in-a-haemodialysis-patient\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/urbancare.clinic\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/emphysematous-cystitis-in-a-haemodialysis-patient.jpg\",\"keywords\":[\"Blood Pressure\"],\"articleSection\":[\"Research Articles\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/emphysematous-cystitis-in-a-haemodialysis-patient\\\/\",\"url\":\"https:\\\/\\\/urbancare.clinic\\\/emphysematous-cystitis-in-a-haemodialysis-patient\\\/\",\"name\":\"Emphysematous cystitis in a haemodialysis patient - 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