Liver Cyst Infection after Colon Endoscopic Mucosal Resection in a Patient with Autosomal Dominant Polycystic Kidney Disease on Maintenance Hemodialysis

A 60-year-old Japanese man with autosomal dominant polycystic kidney disease (ADPKD) on maintenance hemodialysis underwent colonoscopy and endoscopic mucosal resection (EMR). He was hospitalized after 4 days of fever that began the day following colonoscopy. We detected Klebsiella pneumoniae in a bl...

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Autores principales: Shimano, Shota, Tsuda, Miki, Fuyuno, Seiya, Arimura, Yoshihide, Nanishi, Fumio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820040/
https://www.ncbi.nlm.nih.gov/pubmed/29033415
http://dx.doi.org/10.2169/internalmedicine.8784-16
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author Shimano, Shota
Tsuda, Miki
Fuyuno, Seiya
Arimura, Yoshihide
Nanishi, Fumio
author_facet Shimano, Shota
Tsuda, Miki
Fuyuno, Seiya
Arimura, Yoshihide
Nanishi, Fumio
author_sort Shimano, Shota
collection PubMed
description A 60-year-old Japanese man with autosomal dominant polycystic kidney disease (ADPKD) on maintenance hemodialysis underwent colonoscopy and endoscopic mucosal resection (EMR). He was hospitalized after 4 days of fever that began the day following colonoscopy. We detected Klebsiella pneumoniae in a blood culture and a ring-shaped integration in the liver cyst by gallium scintigraphy. He recovered with antibiotics and percutaneous drainage. The patient was believed to have contracted the liver cyst infection via an injured colonic mucosa and portal vein. Thus, if a patient exhibits fever after a colon EMR, for patients with ADPKD, then a liver cyst infection should also be considered in the differential diagnosis.
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spelling pubmed-58200402018-02-22 Liver Cyst Infection after Colon Endoscopic Mucosal Resection in a Patient with Autosomal Dominant Polycystic Kidney Disease on Maintenance Hemodialysis Shimano, Shota Tsuda, Miki Fuyuno, Seiya Arimura, Yoshihide Nanishi, Fumio Intern Med Case Report A 60-year-old Japanese man with autosomal dominant polycystic kidney disease (ADPKD) on maintenance hemodialysis underwent colonoscopy and endoscopic mucosal resection (EMR). He was hospitalized after 4 days of fever that began the day following colonoscopy. We detected Klebsiella pneumoniae in a blood culture and a ring-shaped integration in the liver cyst by gallium scintigraphy. He recovered with antibiotics and percutaneous drainage. The patient was believed to have contracted the liver cyst infection via an injured colonic mucosa and portal vein. Thus, if a patient exhibits fever after a colon EMR, for patients with ADPKD, then a liver cyst infection should also be considered in the differential diagnosis. The Japanese Society of Internal Medicine 2017-10-16 2018-01-15 /pmc/articles/PMC5820040/ /pubmed/29033415 http://dx.doi.org/10.2169/internalmedicine.8784-16 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Shimano, Shota
Tsuda, Miki
Fuyuno, Seiya
Arimura, Yoshihide
Nanishi, Fumio
Liver Cyst Infection after Colon Endoscopic Mucosal Resection in a Patient with Autosomal Dominant Polycystic Kidney Disease on Maintenance Hemodialysis
title Liver Cyst Infection after Colon Endoscopic Mucosal Resection in a Patient with Autosomal Dominant Polycystic Kidney Disease on Maintenance Hemodialysis
title_full Liver Cyst Infection after Colon Endoscopic Mucosal Resection in a Patient with Autosomal Dominant Polycystic Kidney Disease on Maintenance Hemodialysis
title_fullStr Liver Cyst Infection after Colon Endoscopic Mucosal Resection in a Patient with Autosomal Dominant Polycystic Kidney Disease on Maintenance Hemodialysis
title_full_unstemmed Liver Cyst Infection after Colon Endoscopic Mucosal Resection in a Patient with Autosomal Dominant Polycystic Kidney Disease on Maintenance Hemodialysis
title_short Liver Cyst Infection after Colon Endoscopic Mucosal Resection in a Patient with Autosomal Dominant Polycystic Kidney Disease on Maintenance Hemodialysis
title_sort liver cyst infection after colon endoscopic mucosal resection in a patient with autosomal dominant polycystic kidney disease on maintenance hemodialysis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820040/
https://www.ncbi.nlm.nih.gov/pubmed/29033415
http://dx.doi.org/10.2169/internalmedicine.8784-16
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