caa a22 4500 445882581 CHVBK 20180317145548.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10157-010-0348-2 doi (NATIONALLICENCE)springer-10.1007/s10157-010-0348-2 Hyperbaric oxygen therapy in a patient with autosomal dominant polycystic kidney disease with a perinephritic abscess [Elektronische Daten] [Jorge Vega, Helmuth Goecke, Francisco Manriquez, Carlos Escobar, Max Escobar, Christian Videla, Mario Santamarina, Carlos Echeverria, Francisco Guarda] A 68-year-old female in hemodialysis due to autosomal dominant polycystic kidney disease underwent resection of cysts in her right kidney via a laparoscopic approach due to abdominal pain. Three weeks after surgery, she was admitted with sepsis. A CT scan showed a large abscess around the right kidney. Percutaneous drainage of abscess was performed. The pus smear showed Gram-positive cocci and the culture contained methicillin-resistant Staphylococcus aureus. Ciprofloxacin, clindamycin and vancomycin were given. In the 3weeks following admission, she remained febrile and septic and showed a progressive deterioration in her general condition, along with malnutrition and persistent drainage of purulent material from her right flank. The antibiotic therapy was changed to vancomycin, metronidazole and meropenem, but no improvement was observed. Because of the high risk associated with carrying out an open nephrectomy, we decided to use hyperbaric oxygen therapy (HBOT) as a potentially useful measure to control her infection. The patient underwent 26 daily sessions of 100% hyperbaric oxygen (2.5atm). The use of HBOT induced a notable break in the clinical course of this patient's retroperitoneal infection. She was discharged after day 58 without any signs of inflammatory activity, and she has not presented reactivation of infection since then. We think that this case suggests that this therapy could be a new therapeutic tool in the management of patients with similar clinical features when all other therapeutic measures have failed. We did not find any other reports of the use of HBOT in infections of renal cysts. Japanese Society of Nephrology, 2010 Hyperbaric oxygen therapy nationallicence Polycystic kidney disease nationallicence Perinephritic abscess nationallicence Retroperitoneal abscess nationallicence Sepsis nationallicence Vega Jorge Departamento de Medicina, Escuela de Medicina, Universidad de Valparaíso, 5 Norte 1035, Quinta Región, Viña del Mar, Chile aut Goecke Helmuth Departamento de Medicina, Escuela de Medicina, Universidad de Valparaíso, 5 Norte 1035, Quinta Región, Viña del Mar, Chile aut Manriquez Francisco Servicio de Medicina Interna, Sección de Nefrología, Diálisis y Trasplante Renal, Hospital Naval Almirante Nef, Viña del Mar, Chile aut Escobar Carlos Servicio de Urología, Hospital Naval Almirante Nef, Viña del Mar, Chile aut Escobar Max Servicio de Urología, Hospital Naval Almirante Nef, Viña del Mar, Chile aut Videla Christian Servicio de Medicina Interna, Sección de Nefrología, Diálisis y Trasplante Renal, Hospital Dr. Gustavo Fricke, Viña del Mar, Chile aut Santamarina Mario Servicio de Radiología, Hospital Naval Almirante Nef, Viña del Mar, Chile aut Echeverria Carlos Servicio de Medicina Hiperbárica, Hospital Naval Almirante Nef, Viña del Mar, Chile aut Guarda Francisco Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile aut Clinical and Experimental Nephrology Springer Japan 15/1(2011-02-01), 141-146 1342-1751 15:1<141 2011 15 10157 https://doi.org/10.1007/s10157-010-0348-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10157-010-0348-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Vega Jorge Departamento de Medicina, Escuela de Medicina, Universidad de Valparaíso, 5 Norte 1035, Quinta Región, Viña del Mar, Chile aut NATIONALLICENCE 700 1- Goecke Helmuth Departamento de Medicina, Escuela de Medicina, Universidad de Valparaíso, 5 Norte 1035, Quinta Región, Viña del Mar, Chile aut NATIONALLICENCE 700 1- Manriquez Francisco Servicio de Medicina Interna, Sección de Nefrología, Diálisis y Trasplante Renal, Hospital Naval Almirante Nef, Viña del Mar, Chile aut NATIONALLICENCE 700 1- Escobar Carlos Servicio de Urología, Hospital Naval Almirante Nef, Viña del Mar, Chile aut NATIONALLICENCE 700 1- Escobar Max Servicio de Urología, Hospital Naval Almirante Nef, Viña del Mar, Chile aut NATIONALLICENCE 700 1- Videla Christian Servicio de Medicina Interna, Sección de Nefrología, Diálisis y Trasplante Renal, Hospital Dr. Gustavo Fricke, Viña del Mar, Chile aut NATIONALLICENCE 700 1- Santamarina Mario Servicio de Radiología, Hospital Naval Almirante Nef, Viña del Mar, Chile aut NATIONALLICENCE 700 1- Echeverria Carlos Servicio de Medicina Hiperbárica, Hospital Naval Almirante Nef, Viña del Mar, Chile aut NATIONALLICENCE 700 1- Guarda Francisco Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile aut NATIONALLICENCE 773 0- Clinical and Experimental Nephrology Springer Japan 15/1(2011-02-01), 141-146 1342-1751 15:1<141 2011 15 10157 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer