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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 |
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| Authors: | Hyunsuk Kim Hayne Cho Park Sunhwa Lee Jungsil Lee Chungyun Cho Dong Ki Kim Young-Hwan Hwang Kook-Hwan Oh Curie Ahn |
| Affiliation: | 1.Division of Nephrology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.;2.Department of Radiology, Seoul National University College of Medicine, Seoul, Korea.;3.Division of Nephrology, Department of Internal Medicine, Eulji University College of Medicine, Seoul, Korea. |
| 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. |
| Keywords: | Autosomal Dominant Polycystic Kidney Disease Escherichia coli Emphysematous |