Emphysematous Cystitis and Pyelitis

An 85-year-old man with an indwelling suprapubic catheter for bladder outlet obstruction due to prostatic hyperplasia and urethral stricture presented to the hospital with lethargy and weakness. His suprapubic catheter accidentally fell out 3 days prior. His medical history included recurrent urinary tract infections (UTIs), chronic kidney disease secondary to uncontrolled type 2 diabetes mellitus, and a prior transurethral resection of the...