Diagnosis and treatment of a solitary infected hepatic cyst in two patients with adult polycystic kidney disease.
We report on two women (one 52-year-old who underwent kidney transplantation 15 months ago and the other, 71-year-old, undergoing hemodialysis) both with adult polycystic kidney disease who had to be hospitalized because of recurrent fever attacks up to 40 degrees C without any remarkable abdominal symptoms. Staphylococcus hominis and E. coli were recovered respectively from blood cultures of both patients. Evidence for the presence of a solitary infected cyst in the liver could only be obtained by computed tomography (CT) with i.v. administration of a contrast medium. In both cases the infected liver cyst was non-operatively drained with a CT-guided percutaneous catheter and therefore the necessity of laparotomy was avoided.
Gladziwa
U
U
Department of Internal Medicine II, Technical University of Aachen, Germany.
Böhm
R
R
Malms
J
J
Keulers
P
P
Haase
G
G
Sieberth
H G
HG
D000368:Aged; D003560:Cysts / Q000000981:diagnostic imaging* / Q000628:therapy*; D004322:Drainage; D004927:Escherichia coli Infections / Q000000981:diagnostic imaging* / Q000628:therapy*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008107:Liver Diseases / Q000000981:diagnostic imaging* / Q000628:therapy*; D008875:Middle Aged; D007690:Polycystic Kidney Diseases / Q000150:complications* / Q000628:therapy; D006435:Renal Dialysis; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging* / Q000628:therapy*; D014057:Tomography, X-Ray Computed