Beware of urinary tract infection in polycystic kidney patients
Urinary tract infection cannot be prevented and is the most important treatment for polycystic kidney disease. The main symptoms of polycystic kidney patients with cystitis are urgency of urination, pain in urination and pain in pubic arch area. If infection affects the upper urinary tract, it may be accompanied by persistent high fever and lumbago. It is difficult to differentiate pyeloNephritis from cyst infection in clinic. Positive urine culture, increased white blood cell count in blood, and rapid response to conventional anti-infection therapy are beneficial to the diagnosis of pyelonephritis, while positive blood culture and local tenderness indicate cyst infection.
The study found that 50 % ~ 70 % of patients had urinary tract infection at least once in their life, especially in women. When it occurs, it is necessary to extend the use time of oxytocin as much as possible, but it is difficult to cure it completely, and most of it will develop into perirenal abscess and septicemia and must be surgically removed or drained. Past observations have found that nearly one-third of polycystic kidney patients with chronic hemodialysis have symptoms of urinary tract infection. Despite taking effective antibiotics in time and prolonging the course of treatment, there are still patients with perirenal abscess and sometimes even death.
In addition, if it is suspected that the patient may have urinary tract infection, further examination should be made in time. Abdominal plain film can find the location, size and number of urinary stones and perianal abscess. CT scan has good sensitivity in detecting perianal abscess. For patients with urinary tract infection, instrument examination will increase the chance of septicemia, so retrograde pyelography should be avoided as much as possible.
Article by : Peking Tung Shin Tang Chinese Medical Hospital
Tag: polycystic kidney,Urinary tract infection,pain