방광 파열이 동반된 Candida albicans에 의한 공기증방광염 1예 = Emphysematous Cystitis with Bladder Ruptureby Candida albicans

다국어 초록 (Multilingual Abstract)

Emphysematous cystitis is an uncommon life-threatening disease, which often occurs in patients with diabetes mellitus or neurogenic bladder. Bacterial etiologies are common, while cases by Candida species have been very rarely reported. To date, only six cases of Candida albicans related emphysematous cystitis have been reported; two cases resulted in bladder repture and the causative organisms were non-albicans Candida species. We report the first case of emphysematous cystitis caused by Candida albicans accompanying a spontaneous bladder rupture with the review of literatures.

국문 초록 (Abstract)

공기증방광염(emphysematous cystitis)은 주로 당뇨병이나 신경탓방광 환자에서 발생하는 드문 감염질환으로서 치명률이 매우 높다. 이의 원인 미생물은 Escherichia coli, Klebsiella와 같은 세균이 가장 흔하며 칸디다에 의한 증례는 아주 드물어 현재까지 몇 증례만 보고되어 있을 뿐이다. 이 중에서도 방광 파열이 동반된 증례는 non-albicans Candida 종에 의한 증례가 2예 보고되었을 뿐이다. 저자 등은 Candida albicans에 의한 공기증방광염이면서 자발적 방광 파열로 초기 발현된 증례를 경험하여 이를 문헌 고찰과 함께 최초로 보고하는 바이다.

참고문헌 (Reference)

1 "clinico-radiological classification, management, prognosis, and pathogenesis." prog (prog): 797-805, 2000

2 "clinico-radiological classification, management, prognosis, and pathogenesis." 160 : 797-805, 2000

3 "Urinary tract infections in adults with diabetes" 17 : 287-92, 2001

4 "Severe Candida cystitis with perforation of the urinary bladder" 31 : 311-2, 1997

5 "Fungal bezoar and bladder rupture secondary to Candida tropicalis" 47 : 439-41, 1996

6 "Emphysematous prostatitis and cystitis secondary to Candida albicans" 139 : 1063-5, 1988

7 "Emphysematous cystitis:a review of the spectrum of disease" 147 : 134-7, 1992

8 "Emphysematous cystitis with fungal ball" 43 : 904-6, 2002

9 "Emphysematous cystitis due to Clostridium perfringens and Candida albicans in two patients with hematologic malignant conditions" 70 : 2658-63, 1992

10 "Clostridium perfringens emphysematous cystitis" 41 : 458-60, 1993

11 "Clostridium perfringens emphysematous cystitis" 41 : 458-60, 1993

12 "An unusual presentation of emphysematous cystitis" 16 : 664-6, 1998

13 ":Cystitis emphysematosa caused by Candida albicans" 130 : 1171-3, 1983