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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2020, Number 6

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Rev Mex Urol 2020; 80 (6)

Infected renal cyst: A case report

Incontri-Abraham D, Juárez-Vignon-Whaley JJ, Magaña J
Full text How to cite this article

Language: Spanish
References: 8
Page: 1-8
PDF size: 275.42 Kb.


Key words:

Renal cyst, Bosniak, Pyelonephritis, Urinary tract infection.

ABSTRACT

Clinical case description: We present herein an atypical case of a patient diagnosed with an infected renal cyst. Relevance: Although the presence of solitary renal cysts is more common than expected, they rarely become infected, especially when not associated with a cystic disease. Clinical implications: Renal cyst diagnosis is mainly made through imaging studies. Infection is rare and normally associated with polycystic kidney disease. Patients do not usually respond well to conventional antibiotic therapy and end up needing drainage and high doses of antibiotics. Conclusions: There are few case reports of infected renal cyst and they tend to be associated with an underlying pathology, which is important to establish. Even though patients do not usually have a good initial response to antibiotic therapy, they generally have a favorable outcome, with no complications, after drainage and long-term antibiotic administration.


REFERENCES

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  2. Ayari Y, Sellami A, Boussaffa H, Taktak T, Ben Rhouma S, Nouira Y. Emphysematous infection of a solitary renal cyst: A case report and literature review. Urol Case Rep. 2018 Sep 28;22:1–2. doi: https://dx.doi.org/10.1016%2Fj. eucr.2018.09.020

  3. Smith AD, Allen BC, Sanyal R, Carson JD, Zhang H, Williams JH, et al. Outcomes and complications related to the management of Bosniak cystic renal lesions. AJR Am J Roentgenol. 2015 May;204(5):W550-556. doi: https://doi.org/10.2214/ajr.14.13149

  4. Israel GM, Bosniak MA. An update of the Bosniak renal cyst classification system. Urology. 2005 Sep;66(3):484–8. doi: https:// doi.org/10.1016/j.urology.2005.04.003

  5. Schoots IG, Zaccai K, Hunink MG, Verhagen PCMS. Bosniak Classification for Complex Renal Cysts Reevaluated: A Systematic Review. J Urol. 2017;198(1):12–21. doi: https://doi. org/10.1016/j.juro.2016.09.160

  6. Perdigón-Castañeda GM, Escobar-Hernández N, Pacheco-Gambler C, Ochoa-García A. Punción y esclerosis de quistes renales simples. Anales de Radiología México. 2016 May 15;15(1):9–13.

  7. Mohamed AY, Quhal F. Ruptured emphysematous renal cyst. Urol Ann. 2016;8(4):500–2. doi: https://dx.doi. org/10.4103%2F0974-7796.192091

  8. Kennedy-Snodgrass C, Keenan V, Katz DS. Infected Renal Cyst as a Complication of Dropped Gallstones during Laparoscopic Cholecystectomy. Case Rep Gastrointest Med. 2018. doi: https://dx.doi. org/10.1155%2F2018%2F2478245




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Rev Mex Urol. 2020;80