AI Article Synopsis
- Cyst infections are rare in autosomal dominant polycystic kidney disease (ADPKD) but present diagnostic and treatment challenges due to imaging limitations and poor antibiotic penetration.
- A case study highlights a patient with ADPKD and difficult-to-treat pyocysts, which did not improve with traditional antibiotics.
- The successful treatment involved ultrasound-guided cyst puncture, irrigation, and drainage, suggesting that this approach can prevent the need for nephrectomy when skilled interventional radiologists are available.
Article Abstract
Background: Cyst infections is not common in the patients with autosomal dominant polycystic kidney disease (ADPKD) however it may pose major problems to the clinicians because the diagnosis is hampered by lack of reliable imaging techniques for identification of the infected cysts and treatment may be difficult due to poor penetration of antibiotics into the cysts.
Case Presentation: We present a case of ADPKD and intractable pyocysts that did not respond to standard antibiotic therapy but successfully treated by using ultrasound-guided cyst puncture, and repeated irrigation and drainage.
Conclusion: Where the experienced interventional radiologists are available, this method can rescue these patients from nephrectomy.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2639571 | PMC |
| http://dx.doi.org/10.1186/1757-1626-2-66 | DOI Listing |
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