[Successful percutaneous drainage for infected cysts in XXXX in a case of chronic hemodialysis].

@entity1 @entity8 @entity812 @entity177 @entity925 @entity221 @entity293 @entity526
A 60-year-old @entity1 , who had been receiving chronic hemodialysis for @entity177 due to polycystic disease for 7 years, was admitted to our hospital with the chief complaints of right @entity812 and high-grade @entity221 on February 3, 1986. She had a family history of @entity8 and her elder sister has been undergoing chronic hemodialysis. The @entity1 has had repeated episodes of @entity293 . The right markedly distended kidney was palpated with severe @entity925 , and the performance status was poor. Computerized tomography showed the right kidney enlarging beyond the median line, but localization of the infected cysts was not clear. The 7-day intensive antibiotic therapy had no beneficial effect. On the 8th hospital day, percutaneous drainage, which was carried out for a large cyst with low-level echoes using ultrasonic guidance, yielded 600 ml of hemopurulent fluid. Bacterial culture of the aspirated fluid was positive for @entity526 . As the clinical symptoms did not improve after the 8th day, 10 Fr. catheter placement, percutaneous drainage and catheter placement were added for other cysts containing hemopurulent fluid. Although hematopyuria persisted, the @entity1 became afebrile and the right kidney became smaller and softer. Both catheters were removed on the 30th hospital day. Repeated computerized tomography or ultrasonography revealed a few hyperdense or hyperechoic @entity8 . However, no recurrence of high-grade @entity221 or right @entity812 has been seen for 3 months. Ultrasonic-guided percutaneous drainage has a great potential for @entity1 care of infected cysts in @entity8 .
