Persistent fever in a patient with polycystic kidney and liver diseases and bilateral hip prostheses.
Persistent fever in a 60-yr-old man with polycystic kidney and liver diseases and bilateral hip prostheses was presented in this study. Multiple diagnostic tests failed to localize a source of infection. Subsequently, a combination of a 111In-oxine labeled WBC and 99mTc-sulfur colloid scans (and computer subtraction) demonstrated abnormally increased WBC activity in the left lobe of the liver, thus, diagnosis of an infected cyst (or cysts) was made. The patient responded to the treatment with antibiotics. This article discusses the clinical features of polycystic disease of the liver and kidneys. Infection in cysts are discussed as well as radiographic and scintigraphic investigations that can be used to diagnose and localize infection in a cyst.
Kwok
C G
CG
Department of Radiology, Stanford University School of Medicine, CA 94305, USA.
McDougall
I R
IR
D003560:Cysts / Q000150:complications* / Q000000981:diagnostic imaging; D005334:Fever / Q000209:etiology*; D006622:Hip Prosthesis; D006801:Humans; D007205:Indium Radioisotopes; D007239:Infections / Q000150:complications* / Q000000981:diagnostic imaging; D007962:Leukocytes; D008107:Liver Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D009942:Organometallic Compounds; D015125:Oxyquinoline / Q000031:analogs & derivatives; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications*; D011877:Radionuclide Imaging; D013671:Technetium Tc 99m Sulfur Colloid
D007205:Indium Radioisotopes; D009942:Organometallic Compounds; C032950:indium oxine; D013671:Technetium Tc 99m Sulfur Colloid; D015125:Oxyquinoline