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Gary Desir, MD; Donald Helman, MD; Michael Herlich, MD; Laurence Turka, MD; Margaret Johnson Bia, MD
Department of Medicine Yale University School of Medicine New Haven, Conn

JAMA. 1986;255(14):1878.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Renal cyst infections are common in patients with autosomal dominant polycystic kidney disease (PCKD).¹ In contrast, liver cysts, present in 30% of patients with polycystic kidney disease,² rarely become infected and when they do, enteric organisms are isolated.³ We report a patient with polycystic kidney disease who, after undergoing kidney transplantation, experienced a liver cyst infection with Haemophilus parainfluenzae. She was successfully treated with percutaneous drainage of the abscess and a one-month course of ampicillin.

Report of a Case.—

A 57-year-old woman with polycystic kidney disease and renal failure underwent cadaveric renal transplantation eight months before admission. Immunosuppressive therapy initially consisted of cyclosporine (10 mg/kg/day) and prednisone (30 mg/day). The patient experienced hepatitis B virus infection during the third month after transplantation, with persistent hepatitis B surface antigenemia. An abdominal ultrasound mixed-fraction examination showed several liver cysts. Six weeks before the current admission (6 1/2 . . . [Full Text PDF of this Article]

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