title: (111)In WBC SPECT/CT detection of a radiographically occult solitary infected renal cyst in polycystic kidney disease.
abstract: Renal cyst infection-pyocystis-is a potentially life-threatening complication of autosomal-dominant polycystic kidney disease. Differentiation of pyocystis from pyelonephritis is important for antibiotic management. A 56-year-old woman with autosomal-dominant polycystic kidney disease and recurrent urinary tract infections was admitted to the hospital with suspicion of pyelonephritis. CT and static planar In-labeled WBC examinations failed to show a specific focus of infection. Abdominal imaging with In-labeled WBC SPECT/CT revealed abnormal leukocyte accumulation within a solitary right renal cyst. Precise SPECT/CT localization of the infected renal cyst is illustrated along with comparative CT images.
authors.affiliation: From the Kettering Medical Center, Kettering, OH.
authors.forename: Matthew S
authors.initials: MS
authors.lastname: Guy
authors.forename: Arash
authors.initials: A
authors.lastname: Kardan
mesh_terms: D003560:Cysts / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D006801:Humans; D007205:Indium Radioisotopes; D008875:Middle Aged; D064847:Multimodal Imaging; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications / Q000000981:diagnostic imaging*; D011704:Pyelonephritis / Q000150:complications / Q000000981:diagnostic imaging*; D019275:Radiopharmaceuticals; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed; D014552:Urinary Tract Infections / Q000150:complications / Q000000981:diagnostic imaging*
chemical_list: D007205:Indium Radioisotopes; D019275:Radiopharmaceuticals