{"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":"cystitis-ya-emphysematous-katika-mgonjwa-wa-hemodialysis","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/sw\/emphysematous-cystitis-in-a-haemodialysis-patient\/","title":{"rendered":"Cystitis ya emphysematous katika mgonjwa wa hemodialysis"},"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\">Mwanamke katika miaka yake ya mwisho ya 70 juu ya hemodialysis na kisukari cha aina ya 2 na polyangiitis ya microscopic alilazwa kwa matibabu ya ugonjwa wa vasculitis. Siku moja, mgonjwa alipata maumivu ya tumbo na homa. Ishara muhimu zilionyesha joto la mwili la 39.0 \u00b0, shinikizo la damu la 90\/52 mm Hg na kiwango cha moyo cha 118 beats \/ min. Upole ulibainishwa kwenye tumbo la chini. Uchambuzi wa mkojo ulionyesha idadi ya seli nyekundu na nyeupe&gt; 50 kwa kila uwanja wa nguvu nyingi, na vijiti hasi vya gramu viligunduliwa kwenye mkojo na Gram ... <\/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\">Chanzo cha matibabu cha kila siku<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p>Mwanamke katika miaka yake ya mwisho ya 70 juu ya hemodialysis na kisukari cha aina ya 2 na polyangiitis ya microscopic alilazwa kwa matibabu ya ugonjwa wa vasculitis. Siku moja, mgonjwa alipata maumivu ya tumbo na homa. Ishara muhimu zilionyesha joto la mwili la 39.0 \u00b0, shinikizo la damu la 90\/52 mm Hg na kiwango cha moyo cha 118 beats \/ min. Upole ulibainishwa kwenye tumbo la chini. Uchanganuzi wa mkojo ulionyesha hesabu za seli nyekundu na nyeupe&gt; 50 kwa kila uwanja wa nguvu nyingi, na vijiti vya gram-negative viligunduliwa kwenye mkojo na Gram staining. Ingawa mgonjwa na wauguzi walikuwa wamegundua mkojo nyekundu-kahawia siku 2 zilizopita, waliona kuwa ni ishara ya kawaida kwa wagonjwa wa hemodialysis. CT ilifunua emphysema ya ukuta wa kibofu cha mkojo (<cross-ref type=\"fig\" refid=\"F1\">takwimu 1A<\/cross-ref>) Tulianzisha meropenem 1 g \/ siku na utambuzi wa cystitis ya emphysematous. Hata hivyo, licha ya kupata uangalizi mkubwa, mgonjwa huyo alifariki siku 1 baadaye kutokana na mshtuko wa septic. Mkojo na utamaduni wa damu ulionyesha uzalishaji wa wigo mpana wa beta-lactamase <i>Escherichia coli<\/i>. Uchunguzi wa maiti umebaini...<\/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\/sw\/cystitis-ya-emphysematous-katika-mgonjwa-wa-hemodialysis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\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\/sw\/cystitis-ya-emphysematous-katika-mgonjwa-wa-hemodialysis\/\" \/>\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=\"Written by\" \/>\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\":\"sw\"},{\"@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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