title: Successfully treated Escherichia coli-induced emphysematous cyst infection with combination of intravenous antibiotics and intracystic antibiotics irrigation in a patient with autosomal dominant polycystic kidney disease.
abstract: A 62-yr-old woman with an autosomal dominant polycystic kidney disease (ADPKD) was admitted to our hospital for further evaluation of intermittent fever, nausea and left flank discomfort. The computed tomography (CT) scan revealed a gas-forming, infectious cyst of approximately 8.1 cm in size in left kidney lower pole. Escherichia coli was identified from the cyst fluid culture examination. Her symptoms improved only after the concomitant use of intravenous ciprofloxacin and an intracystic irrigation of ciprofloxacin through a percutaneous cystostomy drainage. Our case presents the successfully treated emphysematous cyst infection with combination of intravenous antibiotics and intracystic antibiotic therapy instead of surgical management.
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Hyunsuk
authors.initials: H
authors.lastname: Kim
authors.forename: Hayne Cho
authors.initials: HC
authors.lastname: Park
authors.forename: Sunhwa
authors.initials: S
authors.lastname: Lee
authors.forename: Jungsil
authors.initials: J
authors.lastname: Lee
authors.forename: Chungyun
authors.initials: C
authors.lastname: Cho
authors.forename: Dong Ki
authors.initials: DK
authors.lastname: Kim
authors.forename: Young-Hwan
authors.initials: YH
authors.lastname: Hwang
authors.forename: Kook-Hwan
authors.initials: KH
authors.lastname: Oh
authors.forename: Curie
authors.initials: C
authors.lastname: Ahn
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002939:Ciprofloxacin / Q000627:therapeutic use*; D003559:Cystostomy; D003560:Cysts / Q000382:microbiology; D004927:Escherichia coli Infections / Q000150:complications / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D008875:Middle Aged; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications / Q000175:diagnosis*; D007507:Therapeutic Irrigation; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin
keywords: Autosomal Dominant Polycystic Kidney Disease; Emphysematous; Escherichia coli