An uncommon infection in an uncommon host.
We present the case of an international traveller who was eventually diagnosed with amoebiasis and autosomal dominant polycystic kidney disease (ADPKD) after she presented with recurring fevers. The patient was also diagnosed with non-amoebic bacterial hepatitis. Positron emission tomography (PET) can play an important role in locating the source of infection in patients with ADPKD when hepatic or renal infection is suspected. It can also be used to document clinical resolution of infection in difficult cases. Hepatic parenchymal infections in ADPKD patients may warrant a prolonged course of rotating antibiotics.
Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA. sidsingh@uab.edu
Siddharth
S
Singh
John B
JB
Bundrick
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D004404:Dysentery, Amebic / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005334:Fever / Q000209:etiology; D006505:Hepatitis / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D016891:Polycystic Kidney, Autosomal Dominant / Q000175:diagnosis* / Q000503:physiopathology; D049268:Positron-Emission Tomography; D014195:Travel
D000900:Anti-Bacterial Agents; D000981:Antiprotozoal Agents