title: Infected renal cystic mass associated with bacterial meningitis: a case report.
abstract: We report a case of an infected renal cystic mass associated with bacterial meningitis in a 70-year-old woman who had had poorly-controlled diabetes mellitus for approximately 30 years. She suffered from bacterial meningitis due to Klebsiella pneumoniae, which was successfully treated with antimicrobial chemotherapy for 1 month. Approximately 2 weeks later she developed left flank pain and a high fever. A CT scan and an ultrasonogram revealed a left renal cystic mass, which was considered to be an infected renal cyst. Turbid and thick fluid was obtained by percutaneous aspiration which contained numerous white blood cells. Culture of this fluid yielded K. pneumoniae. The bacterial meningitis was considered to be a secondary infection of the septicemia which resulted from the infected renal cystic mass.
authors.affiliation: Department of Urology, Tatsunokuchi Houju Memorial Hospital, Ishikawa, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Fuse
authors.forename: M
authors.initials: M
authors.lastname: Ohkawa
authors.forename: T
authors.initials: T
authors.lastname: Asamoto
mesh_terms: D000368:Aged; D016470:Bacteremia / Q000150:complications; D003560:Cysts / Q000000981:diagnostic imaging / Q000382:microbiology*; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000382:microbiology*; D007710:Klebsiella Infections / Q000150:complications*; D016920:Meningitis, Bacterial / Q000382:microbiology*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography