Emphysematous cystitis in a non-diabetic cat with staphylococcus spp.

Lora Koenhemsi1*, Belgi Diren Sigirci2, Remzi Gönül1, Erman Or1

1.Istanbul  University-Cerrahpasa,  Veterinary  Faculty,  Department  Internal  Medicine,  Avclılar,  34320, İstanbul/Turkey.
2. Istanbul University-Cerrahpaşa, Faculty of Veterinary Medicine, Department of Microbiology, Avcılar, 34320, İstanbul/Turkey. 

Koenhemsi, L.: ORCID: 000-0002-4979-170X; Siğirci B.,D., ORCID: 0000-0001-7153-7428.  Gönül, R.: ORCID: 000-0002-9425-0964,  Or, E., ORCID: 0000-0002-7864-1956.

 *Lora Koenhemsi: lomekoh@istanbul.edu.tr

17.04.2019,  Accepted: 08.07.2019,  Available online: 09.07.2019


Emphysematous  cystitis  (EC)  is  uncommon  infection  of  urinary  tract  which  is characterized by air within the bladder wall and lumen. A 3 years old male cat presented with polyuria/polydipsia, lethargy, and inappropriate urination. Temperature, pulse and respiratory  rates  were  within  normal  limits  on  physical  examination.  Blood  work revealed  leukocytosis  and  increased  levels  of  blood  urea  nitrogen  and  creatinine. Urinalysis  revealed  persistent  proteinuria  in  urine  dipstick  and  bacteria  under microscopical examination of urine. The presence of air in the bladder were seen in latero-lateral abdominal view. Based on lab work and imaging abnormalities, a diagnosis of emphysematous cystitis was made. The use of diagnostic imaging and lab work are necessary in the diagnosis and treatment of this rare disease, and will be described in this report.

Keywords: Emphysematous cystitis, cat, Staphylococcusspp, radiology