A case of recurrent bacteremia in a patient undergoing hemodialysis due to autosomal dominant polycystic kidney disease

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  • 繰り返すグラム陰性桿菌敗血症の多発性嚢胞腎透析患者の１例
  • 症例報告 繰り返すグラム陰性桿菌敗血症の多発性嚢砲腎透析患者の1例
  • ショウレイ ホウコク クリカエス グラム インセイカンキン ハイケツショウ ノ タハツセイノウホウジントウセキ カンジャ ノ 1レイ

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Abstract

We report a 72-year-old female with 11 episodes of recurrent gram-negative bacteremia during a 5-year period since initiating hemodialysis due to autosomal dominant polycystic kidney disease (ADPKD). Even after bilatered nephrectomy, the patient demonstrated recurrent bacteremia due to Escherichia coli. The patient never showed any symptoms other than sudden onset of high fever due to bacteremia. When patients on hemodialysis develop a high temperature, physicians should always to perform a blood culture. Moreover, ADPKD patients should undergo magnetic resonance imaging or scintigraphy for the differential diagnosis of infection in the cysts. This case suggests that physicians need to pay attention to recurrent bacteremia in ADPKD patients receiving hemodialysis.

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