Case Study of the MonthHepatorenal Polycystic Disease and Fever: Diagnostic Contribution of Gallium Citrate Ga 67 Scan and Fluorine F 18 FDG-PET/CT
Section snippets
Case report
A 49-yr-old woman with fever and pain in the right hypochondrium was admitted for examination. Lab findings disclosed haemoglobin of 10.6 g/dl with haematocrit (Hct) of 31% and mean cell volume (VCM) of 102.9 femtolitres (fl), a white blood cell count of 8900 cells per microlitre, 86% neutrophil granulocytes, 7% lymphocytes, erythrocyte sedimentation rate of 124 mm per first hour and 4.6 mg/dl of C-reactive protein, 117 mg/dl of urea and 5.56 mg/dl of creatinine, 0.3 mg/dl of total bilirubin, and 243
Discussion
Pyogenic abscess is a process with significant morbidity and mortality, and it is a rare complication in patients with autosomal dominant polycystic kidney disease [1]. When this situation is suspected, the first clinical step is the diagnosis. The crucial second step is to precisely locate the abscess anatomically to provide surgical treatment, especially if the causative organism or the septic focus cannot be identified or if the antibiotic therapy has failed [2]. Detection of infected cysts
EU-ACME question
Please visit www.eu-acme.org/europeanurology to answer the following EU-ACME question online (the EU-ACME credits will be attributed automatically).
Question:
A patient on haemodialysis for chronic renal failure secondary to known hepatorenal polycystic disease showed persistent fever despite treatment with antibiotics. Because a cyst infection is suspected, what would be the most appropriate diagnostic technique to identify the accurate site of the infected cyst and determine the most effective
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