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Unexpected Abscess Localization of the Anterior Abdominal Wall in an ADPKD Patient Undergoing Hemodialysis.

Sabanis N, Paschou E, Gavriilaki E, Mourounoglou M, Vasileiou S - Case Rep Nephrol (2015)

Bottom Line: Cystic and noncystic extrarenal manifestations are correlated with variable clinical presentations so that an inherited disorder is now considered a systemic disease.Kidney and liver cystic infections are the most common infectious complications in ADPKD patients.Although the precise pathway of infection remains uncertain, the previous medical history as well as the clinical course of our patient led us to hypothesize an alternative route of infection from the gastrointestinal tract through an aberrant intestinal barrier into the bloodstream and eventually to an atypical location.

View Article: PubMed Central - PubMed

Affiliation: Department of Nephrology, General Hospital of Pella, 58200 Edessa, Greece.

ABSTRACT
Autosomal Dominant Polycystic Kidney Disease (ADPKD) is one of the most common monogenic disorders and the leading inheritable cause of end-stage renal disease worldwide. Cystic and noncystic extrarenal manifestations are correlated with variable clinical presentations so that an inherited disorder is now considered a systemic disease. Kidney and liver cystic infections are the most common infectious complications in ADPKD patients. Furthermore, it is well known that ADPKD is commonly associated with colonic diverticular disease which recently has been reported to be linked to increased risk of infection on hemodialysis patients. Herein, we present a case of anterior abdominal wall abscess caused by Enterococcus faecalis in a patient with ADPKD undergoing hemodialysis. Although the precise pathway of infection remains uncertain, the previous medical history as well as the clinical course of our patient led us to hypothesize an alternative route of infection from the gastrointestinal tract through an aberrant intestinal barrier into the bloodstream and eventually to an atypical location.

No MeSH data available.


Related in: MedlinePlus

Abdominal Computed Tomography: abscess of the left anterior abdominal wall.
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Related In: Results  -  Collection


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fig1: Abdominal Computed Tomography: abscess of the left anterior abdominal wall.

Mentions: Abdominal Computed Tomography showed an extensive, well-limited abscess of the left anterior abdominal wall with dimensions 5.7 × 5.5 cm (Figure 1), splenomegaly, multiple kidney and liver cysts, and colonic diverticulosis with no evidence of active infection (Figure 2).


Unexpected Abscess Localization of the Anterior Abdominal Wall in an ADPKD Patient Undergoing Hemodialysis.

Sabanis N, Paschou E, Gavriilaki E, Mourounoglou M, Vasileiou S - Case Rep Nephrol (2015)

Abdominal Computed Tomography: abscess of the left anterior abdominal wall.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4537735&req=5

fig1: Abdominal Computed Tomography: abscess of the left anterior abdominal wall.
Mentions: Abdominal Computed Tomography showed an extensive, well-limited abscess of the left anterior abdominal wall with dimensions 5.7 × 5.5 cm (Figure 1), splenomegaly, multiple kidney and liver cysts, and colonic diverticulosis with no evidence of active infection (Figure 2).

Bottom Line: Cystic and noncystic extrarenal manifestations are correlated with variable clinical presentations so that an inherited disorder is now considered a systemic disease.Kidney and liver cystic infections are the most common infectious complications in ADPKD patients.Although the precise pathway of infection remains uncertain, the previous medical history as well as the clinical course of our patient led us to hypothesize an alternative route of infection from the gastrointestinal tract through an aberrant intestinal barrier into the bloodstream and eventually to an atypical location.

View Article: PubMed Central - PubMed

Affiliation: Department of Nephrology, General Hospital of Pella, 58200 Edessa, Greece.

ABSTRACT
Autosomal Dominant Polycystic Kidney Disease (ADPKD) is one of the most common monogenic disorders and the leading inheritable cause of end-stage renal disease worldwide. Cystic and noncystic extrarenal manifestations are correlated with variable clinical presentations so that an inherited disorder is now considered a systemic disease. Kidney and liver cystic infections are the most common infectious complications in ADPKD patients. Furthermore, it is well known that ADPKD is commonly associated with colonic diverticular disease which recently has been reported to be linked to increased risk of infection on hemodialysis patients. Herein, we present a case of anterior abdominal wall abscess caused by Enterococcus faecalis in a patient with ADPKD undergoing hemodialysis. Although the precise pathway of infection remains uncertain, the previous medical history as well as the clinical course of our patient led us to hypothesize an alternative route of infection from the gastrointestinal tract through an aberrant intestinal barrier into the bloodstream and eventually to an atypical location.

No MeSH data available.


Related in: MedlinePlus