Perinephric abscess in patients with polycystic kidney disease undergoing chronic hemodialysis.
5 patients with polycystic kidney disease undergoing chronic hemodialysis who developed perinephric abscesses are described. Gallium-67 scintigraphy was helpful in making a diagnosis in 2 of these patients. All 5 patients initially presented with urinary tract infections. Perinephric abscess became evident over a variable period of time (2--28 days) following completion of antibiotic therapy for their urinary tract infection. Gallium-67 scintigraphy appears useful in detecting this complication, and nephrectomy should be considered once the diagnosis is confirmed.
D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D005710:Gallium Radioisotopes; D006801:Humans; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D010501:Perinephritis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D007690:Polycystic Kidney Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D011877:Radionuclide Imaging; D006435:Renal Dialysis; D014552:Urinary Tract Infections / Q000150:complications*
D000900:Anti-Bacterial Agents; D005710:Gallium Radioisotopes