Urinary tract infection is one of the most common complications in patients with Polycystic Kidney Disease (hereinafter called PKD), which mainly presents Cystitis, Pyelonephritis, Cystic infection and Perinephric Abscess. In clinical symptoms, urinary tract infection usually emerges at first. And 50% to 70% of patients can present once urinary tract infection at least in their whole life and this often occurs in female patients.
Clinical manifestation and imaging checks
PKD patients usually show urgent urination, odynuria and pains in pubic arc
area, when they have cystitis. If infection affected upper urinary tract,
patients can manifest persistent high fever and lumbago. But it’s hard to give a
differential diagnosis between pyelonephritis and cystic infection. To ascertain
the disease, some additional tests need to be conducted. If urine cultivation
presents positive, the number of leucocyte in blood increase and it has a rapid
response to regular anti-infection treatment, pyelonephritis can be diagnosed.
If blood cultivation show positive and patients feel local tenderness, patients
are probably to suffer from cystic infection.
When PKD patient doubt that they have urinary tract infection, they should
take imaging checks. Abdomen AP can indicate stones’ location, size, number and
perinephric abscess. CT scanning has a sensitive detection on perinephric
abscess. For those patients adjoint urinary tract infection, apparatus checking
can increase the incidence of septicemia. Therefore, it is advisable to avoid
pelvis radiotherapy backward.
Certainly, if apparatus checking is inevitable, patients should take proper
antibiotic to prevent inflammation within 24hrs once checking. And you can email
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