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.
10.3346/jkms.2013.28.6.955
- Author:
Hyunsuk KIM
1
;
Hayne CHO PARK
;
Sunhwa LEE
;
Jungsil LEE
;
Chungyun CHO
;
Dong Ki KIM
;
Young Hwan HWANG
;
Kook Hwan OH
;
Curie AHN
Author Information
1. Division of Nephrology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. curie@snu.ac.kr
- Publication Type:Case Reports
- Keywords:
Autosomal Dominant Polycystic Kidney Disease;
Escherichia coli;
Emphysematous
- MeSH:
Anti-Bacterial Agents/*therapeutic use;
Ciprofloxacin/*therapeutic use;
Cystostomy;
Cysts/microbiology;
Escherichia coli Infections/complications/*drug therapy;
Female;
Humans;
Injections, Intravenous;
Middle Aged;
Polycystic Kidney, Autosomal Dominant/complications/*diagnosis;
Therapeutic Irrigation;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2013;28(6):955-958
- CountryRepublic of Korea
- Language:English
-
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.
