Nihon Toseki Igakkai Zasshi
Online ISSN : 1883-082X
Print ISSN : 1340-3451
ISSN-L : 1340-3451
A case of recurrent bacteremia in a patient undergoing hemodialysis due to autosomal dominant polycystic kidney disease
Yoko UchiyamaOsamu Hashimoto
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2009 Volume 42 Issue 11 Pages 885-889

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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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© 2009 The Japanese Society for Dialysis Therapy
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