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Severe combined emphysematous infections of the urinary tract in a diabetic patient: A case report

S. Choumad, Aichetou Mohamed el Hacen, Khattary Oumar, Ahmed Ebedda, I. Nassar, K. Imrani

Radiology Case Reports, 2026

Abstract

Emphysematous infections of the urinary tract are rare but life-threatening conditions, most commonly affecting diabetic and immunocompromised patients. We report a case of a 55-year-old male with uncontrolled type 2 diabetes and chronic alcoholism who presented in septic shock. CT imaging revealed emphysematous pyelonephritis, emphysematous cystitis, a pelvic abscess in the recto-vesical pouch, and bilateral periurethral prostatic abscesses. The case illustrates the importance of early imaging, prompt diagnosis, and multidisciplinary management in preventing fatal outcomes.

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