Pyocystis, pyonephrosis and perinephric abscess in end stage renal disease.
We report 8 patients with end stage renal disease on maintenance hemodialysis who had pyocystis, pyonephrosis or a perinephric abscess. Delay in diagnosis was frequent because the urine-deprived bladder and kidneys were dismissed as potential sites of infection. Treatment of pyocystis with bladder irrigations often was successful and obviated cystectomy. Pyonephrosis or perinephric abscess was a more serious problem and required unilateral nephrectomy.
D000038:Abscess / Q000150:complications*; D000368:Aged; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000150:complications*; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000150:complications*; D006435:Renal Dialysis; D013492:Suppuration; D001745:Urinary Bladder Diseases / Q000150:complications*; D014552:Urinary Tract Infections / Q000150:complications* / Q000628:therapy