DIAGNOSIS AND TREATMENT OF A SOLITARY INFECTED HEPATIC CYST IN 2 PATIENTS WITH ADULT POLYCYSTIC KIDNEY-DISEASE

We report on two women (one 52-year-old who underwent kidney transplan tation 15 months ago and the other, 71-year-old, undergoing hemodialys is) both with adult polycystic kidney disease who had to be hospitaliz ed because of recurrent fever attacks up to 40-degrees-C without any r emarkable abdominal symptoms. Staphylococcus hominis and E. coli were recovered respectively from blood cultures of both patients. Evidence for the presence of a solitary infected cyst in the liver could only b e obtained by computed tomography (CT) with i.v. administration of a c ontrast medium. In both cases the infected liver cyst was nonoperative ly drained with a CT-guided percutaneous catheter and therefore the ne cessity of laparotomy was avoided.