Emphysematous cystitis

Background: A 30-year-old paraplegic man was admitted to the emergency department for hyperthermia, right flank pain and abdominal tenderness. His past medical history revealed a type 2 diabetes mellitus and a cervico-thoracic astrocytoma treated by surgery and radiotherapy. In 2008, he underwent surgery for the placement of a ventriculo-peritoneal derivation for hydrocephalus secondary to meningeal carcinomatosis. The medical treatment included dexamethasone, sodium valproate and levetiracetam for intractable epilepsia. Laboratory tests revealed blood inflammation and urinary infection.