A Rare Case of Co-occurrence of Emphysematous Cystitis and Emphysematous Myositis in a Haemodialysis Patient

Anupama Y.J.1, *, Chandrasekhar S.2
1 Nanjappa Hospital, Shivamogga 577201, Karnataka, India
2 Nava Sanjeevini Diagnostics, Shivamogga 577201, Karnataka, India

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© 2019 Y.J. et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Nanjappa Hospital, Shivamogga 577201, Karnataka, India;
Tel: +91-9686-213290; E-mail:


Urosepsis presents an unusual diagnostic challenge in chronic dialysis patients who often are anuric. This leads to atypical presentations, delayed diagnosis and poor outcome. Here we present a case of an elderly diabetic patient with chronic kidney disease on maintenance haemodialysis who presented with lower limb pain initially and had no urinary complaints. The evaluation revealed the presence of extensive emphysematous pyelonephritis, cystitis and myositis. The unusual presentation is discussed along with a relevant review of the literature.

Keywords: Urosepsis, Chronic kidney disease, Diabetic, Elderly, Emphysematous myositis, Limb pain.