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Emphysematous polycystic infection in a patient on peritoneal dialysis
Shankar Prasad Nagaraju1, Ankur Gupta, Brendan B Mccormick
1Department of Nephrology, University of Ottawa, Ottawa, Canada.
Abstract:
Emphysematous infection of the cysts in patients with polycystic kidney disease is very rare and seldom reported. We herein report a case of emphysematous polycystic infection in a 61-year-old male patient who was on peritoneal dialysis for end-stage renal disease caused by adult polycystic kidney disease.
Insights
Emphysematous infection in kidney cysts is rare. This case highlights a serious complication in a patient with adult polycystic kidney disease on dialysis.
Area of Science:
- Nephrology
- Infectious Diseases
- Medical Imaging
Background:
- Polycystic kidney disease (PKD) is a genetic disorder characterized by numerous cysts in the kidneys.
- Complications of PKD include kidney failure, hypertension, and infections.
- Emphysematous infection, a rare but severe condition involving gas-producing microorganisms, is seldom reported in PKD cysts.
Observation:
- A 61-year-old male patient with end-stage renal disease (ESRD) due to adult polycystic kidney disease (APKD) presented with symptoms suggestive of infection.
- The patient was undergoing peritoneal dialysis (PD).
- Imaging studies revealed gas within the renal cysts, indicative of emphysematous infection.
Findings:
- The case demonstrates emphysematous infection occurring within the cysts of a patient with APKD.
- This represents a rare clinical presentation and a significant challenge in management.
- The presence of gas in the cysts is a hallmark of this specific type of infection.
Implications:
- Early recognition and prompt treatment are crucial for managing emphysematous infections in PKD patients.
- This case underscores the importance of considering rare complications in patients with APKD, especially those on dialysis.
- Further research may be needed to understand the pathophysiology and optimize treatment strategies for this rare condition.
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