Figure 921

Autosomal-dominant polycystic kidney disease (ADPKD): kidney cyst infection. Course of severe cyst infection in the right kidney of a patient with ADPKD who was admitted for fever and acute right flank pain. Blood culture was positive for Escherichia coli. A, CT performed on admission showed several heterogeneous cysts in the right kidney (arrows). Infection did not respond to appropriate antibiotherapy (fluoroquinolone). B, CT repeated 17 days later showed considerable enlargement of the infected cysts (arrows). Percutaneous drainage failed to control infection, and nephrectomy was necessary. This case illustrates the potential severity of cyst infection and the contribution of sequential CT in the diagnosis and management of complicated cysts.





0 0

Post a comment