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All Journal Open Access Indonesian Journal of Medical Reviews
Maharsi, Chiendo Yurinda
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Health Professions Medicine & Pharmacology

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Rare Presentation of Emphysematous Cystitis with Culture-Proven Urosepsis in a Geriatric Female: A Case Report Maharsi, Chiendo Yurinda; Ali Husein
Open Access Indonesian Journal of Medical Reviews Vol. 5 No. 3 (2025): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v5i3.719

Abstract

Emphysematous cystitis (EC) is a rare and potentially life-threatening infection of the bladder wall characterized by the presence of gas. It predominantly affects elderly females with diabetes mellitus. While the clinical presentation can vary, it commonly involves symptoms of urinary tract infection. This case report describes an unusual presentation of EC in a geriatric female complicated by culture-proven urosepsis. A 66-year-old female with a history of type 2 diabetes mellitus presented to the emergency department with fever, dyspnea, and tachypnea. She reported suprapubic pain, dysuria, and foul-smelling, murky urine for two days. Initial laboratory findings revealed leukocytosis, hyperglycemia, and elevated procalcitonin levels, indicating sepsis. Computed tomography (CT) of the abdomen and pelvis revealed air foci within the bladder wall, consistent with EC. Blood and urine cultures grew Escherichia coli resistant to multiple antibiotics but susceptible to amikacin and gentamicin. The patient was treated with intravenous amikacin and showed significant clinical improvement, with subsequent negative urine cultures. In conclusion, our study highlights a rare presentation of emphysematous cystitis complicated by culture-proven urosepsis in a geriatric female with multidrug-resistant Escherichia coli. Prompt diagnosis using CT imaging and appropriate antibiotic therapy based on culture sensitivities led to a successful outcome. This case underscores the importance of considering EC in elderly diabetic patients presenting with sepsis and urinary symptoms, even with atypical features.
Laparoscopic Sleeve Gastrectomy for Severe and Morbid Obesity: A Narrative Literature Review Maharsi, Chiendo Yurinda; Huda Fajar Arianto; Willy Yulianto
Open Access Indonesian Journal of Medical Reviews Vol. 2 No. 6 (2022): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v2i6.235

Abstract

The prevalence of severe and morbid obesity keeps increasing in significant value and has become a major problem around the world. Society itself, whether in young adult or senior, currently keep looking to manage them. The current effective and approved treatment for this condition is known as metabolic and bariatric surgery (MBS), in which there are several procedures, including laparoscopic sleeve gastrectomy. Even though knowledge regarding this procedure keeps evolving, the study found that the laparoscopic sleeve gastrectomy procedure brings minimal complication with quality-of-life improvement, especially in a cardiometabolic risk society. This review aims to further discuss the procedure definition, changes in diet, benefits, and obesity relapse in the future after this procedure.
Co-Authors Ali Husein Huda Fajar Arianto Willy Yulianto