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Vol. 18. Issue 1.
Pages 75-80 (March 2011)
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Vol. 18. Issue 1.
Pages 75-80 (March 2011)
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Cistitis enfisematosa: una complicación inesperada durante el tratamiento inmunosupresor en un paciente con poliangeítis microscópica
Emphysematous cystitis: an unexpected complication of immunosuppressive therapy in a patient with Microscopic Polyangeiitis
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Sebastián Andrés Muñoz1,
Corresponding author
, Ignacio Javier Gandino1, Eliana Evangelina Calegari1, María Alejandra Ermida1, Horacio Héctor Amurri2, Mariana Álvarez3, Silvina Figurelli3, Marta Gianni1, José Luis Presas1
1 Servicio de Clínica Médica División “A”
2 Servicio de Neurología
3 Servicio de Anatomía Patológica. Hospital General de Agudos Juan A. Fernández. Ciudad Autónoma de Buenos Aires, Argentina
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Resumen

La cistitis enfisematosa es una rara condición caracterizada por la presencia de gas en el lumen y la pared de la vejiga como consecuencia de la colonización de microorganismos fermentadores. La mayoría de los casos se describen en mujeres de edad media con diabetes mellitus; es menos frecuente en pacientes inmunosuprimidos. A continuación presentamos un paciente con diagnóstico reciente de poliangeítis microscópica que desarrolló una cistitis enfisematosa como complicación del tratamiento inmunosupresor

Palabras clave:
cistitis enfisematosa
poliangeítis microscópica
infección del tracto urinario
Summary

Emphysematous cystitis is a rare condition characterized by the presence of gas in the bladder wall and lumen result of the colonization by fermentative microorganisms. Most of the cases have been described in middle-age woman suffering from Diabetes Mellitus, being less frequently in immunosuppressive patients. We report here a patient with Microscopic Poliangeiitis who developed emphysematous cystitis as a complication of immunosuppressive therapy.

Key words:
emphysematous cystitis
microscopic poliangeiitis
urinary tract infection
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Referencias
[1.]
M. Tidman, R. Olander, C. Svalander, D. Daneilsson.
Patients hospitalized because of small vessel vasculitides with renal involvement in the period 1975–95: organ involvement, anti-neutrophil cytoplasmic antibodies patterns, seasonal attack rates and fluctuation of annual frequencies.
J Intern Med, 244 (1998), pp. 133-141
[2.]
A. Mahr, L. Guillevin, M. Poissonnet, S. Aymé.
Prevalences of polyarteritis nodosa, microscopic polyangeiitis, Wegener's granulomatosis and Churg-Strauss syndrome in a French urban multiethnic population in 2000: a capture-recapture estimate.
Arthritis Rheum, 51 (2004), pp. 92-99
[3.]
C. Mukhtyar, O. Flossmann, B. Hellmich, et al.
Outcomes from studies of antineutophil cytoplasm antibody associated vasculitis: a systematic review by the European League Against Rheumatism systemic vasculitis task force.
Ann Rheum Dis, 67 (2008), pp. 1004-1010
[4.]
A.D. Booth, M.K. Almont, A. Burns, et al.
Outcome of ANCA-associated renal vasculitis: a 5-year retrospective study.
Am J Kidney Dis, 41 (2003), pp. 776-784
[5.]
C. Mukhtyar, L. Guillevin, M. Cid, et al.
EULAR recommendations for the management of primary small and medium vessel vasculitis.
Ann Rheum Dis, 68 (2009), pp. 310-317
[6.]
J. Turnbull, L. Harper.
Adverse effects of therapy for ANCA-associated vasculitis.
Best Practice & Research Clinical Rheumatology, 23 (2009), pp. 391-401
[7.]
M. Grupper, A. Kravtsov, I. Potasman.
Emphysematous Cystitis: Illustrative Case Report and Review of the Literature.
Medicine (Baltimore), 86 (2007), pp. 47-53
[8.]
N.P. Patel, R.W. Lavengood, M. Fernandes, J.N. Ward, M.P. Walzak.
Gas-forming infections in genitourinary tract.
Urology, 39 (1992), pp. 341-345
[9.]
A.A. Thomas, B.R. Lane, A.Z. Thomas, E.M. Remer, S.C. Campbell, D.A. Shoskes.
Emphysematous Cystitis: a review of 135 cases.
[10.]
R.K. Bobba, E.L. Arsura, P.S. Sarna, et al.
Emphysematous Cystitis: An inusual disease of the genitourinary system suspected on imaging.
Ann Clin Microb Antimicrob, 3 (2004), pp. 20-24
[11.]
M.E. Bohlman, E.K. Fishman, J.E. Oesterling, S.M. Goldman.
Case profile: CT findings in emphysematous cystitis.
Urology, 32 (1988), pp. 63-64
[12.]
M.E. Bohlman, B.S. Sweren, R. Khazan.
Emphysematous pyelitis and emphysematous pyelonephritis characterized by computerized tomography.
South Med J, 84 (1991), pp. 1438-1443
[13.]
J.F. Ma, J.H. McClenathan.
Emphysematous cystitis.
J Am Coll Surg, 193 (2001), pp. 574
[14.]
H. Abuzarad, M.F. Gadallah, H. Rabb, M. Verness, G. Ramirez.
Emphysematous cystitis: possible side effect of cyclophosphamide therapy.
Clin Nephrol, 50 (1998), pp. 394-396

Los autores declaran no presentar ningún conflicto de interés al momento de la redacción del manuscrito.

Copyright © 2011. Asociación Colombiana de Reumatología
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