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
نویسندگان
چکیده
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.
منابع مشابه
Ultrasonography-guided intracystic injection of appropriate antibiotics: valuable for treatment of pyocyst in autosomal dominant polycystic kidney disease?
SIR, The prevalence of the urinary infections in patients with autosomal dominant polycystic kidney disease (ADPKD) is abnormally high. Pyocyst in patients with ADPKD is a very serious and potentially fetal infection. Diagnosis and treatment of this rare complication is hampered by the problems in the delicate identification of the infected cysts and poor penetration of the systemically used an...
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