PERSISTENT FEVER IN A PATIENT WITH POLYCYSTIC KIDNEY AND LIVER-DISEASES AND BILATERAL HIP PROSTHESES

Persistent fever in a 60-yr-old man with polycystic kidney and liver d iseases and bilateral hip prostheses was presented in this study. Mult iple diagnostic tests failed to localize a source of infection, Subseq uently, a combination of a In-111-oxine labeled WBC and Tc-99m-sulfur colloid scans (and computer subtraction) demonstrated abnormally incre ased WBC activity in the left lobe of the liver, thus, diagnosis of an infected cyst (or cysts) was made. The patient responded to the treat ment with antibiotics. This article discusses the clinical features of polycystic disease of the liver and kidneys. Infection in cysts are d iscussed as well as radiographic and scintigraphic investigations that can be used to diagnose and localize infection in a cyst.