Unexpected Abscess Localization of the Anterior Abdominal Wall in an ADPKD Patient Undergoing Hemodialysis

Autosomal Dominant Polycystic Kidney Disease (ADPKD) is one of the most common monogenic disorders and the leading inheritable cause of end-stage renal disease worldwide. Cystic and noncystic extrarenal manifestations are correlated with variable clinical presentations so that an inherited disorder...

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Main Authors: Nikos Sabanis, Eleni Paschou, Eleni Gavriilaki, Maria Mourounoglou, Sotirios Vasileiou
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2015/982575
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author Nikos Sabanis
Eleni Paschou
Eleni Gavriilaki
Maria Mourounoglou
Sotirios Vasileiou
author_facet Nikos Sabanis
Eleni Paschou
Eleni Gavriilaki
Maria Mourounoglou
Sotirios Vasileiou
author_sort Nikos Sabanis
collection DOAJ
description Autosomal Dominant Polycystic Kidney Disease (ADPKD) is one of the most common monogenic disorders and the leading inheritable cause of end-stage renal disease worldwide. Cystic and noncystic extrarenal manifestations are correlated with variable clinical presentations so that an inherited disorder is now considered a systemic disease. Kidney and liver cystic infections are the most common infectious complications in ADPKD patients. Furthermore, it is well known that ADPKD is commonly associated with colonic diverticular disease which recently has been reported to be linked to increased risk of infection on hemodialysis patients. Herein, we present a case of anterior abdominal wall abscess caused by Enterococcus faecalis in a patient with ADPKD undergoing hemodialysis. Although the precise pathway of infection remains uncertain, the previous medical history as well as the clinical course of our patient led us to hypothesize an alternative route of infection from the gastrointestinal tract through an aberrant intestinal barrier into the bloodstream and eventually to an atypical location.
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series Case Reports in Nephrology
spelling doaj-art-a229202ab7644aaaa946ebbf2bbe55322025-02-03T05:59:16ZengWileyCase Reports in Nephrology2090-66412090-665X2015-01-01201510.1155/2015/982575982575Unexpected Abscess Localization of the Anterior Abdominal Wall in an ADPKD Patient Undergoing HemodialysisNikos Sabanis0Eleni Paschou1Eleni Gavriilaki2Maria Mourounoglou3Sotirios Vasileiou4Department of Nephrology, General Hospital of Pella, 58200 Edessa, GreeceDepartment of General Practice and Family Medicine, General Hospital of Pella, 58200 Edessa, GreeceMedical School, Aristotle University of Thessaloniki, Thessaloniki, GreeceDepartment of General Surgery, General Hospital of Pella, 58200 Edessa, GreeceDepartment of Nephrology, General Hospital of Pella, 58200 Edessa, GreeceAutosomal Dominant Polycystic Kidney Disease (ADPKD) is one of the most common monogenic disorders and the leading inheritable cause of end-stage renal disease worldwide. Cystic and noncystic extrarenal manifestations are correlated with variable clinical presentations so that an inherited disorder is now considered a systemic disease. Kidney and liver cystic infections are the most common infectious complications in ADPKD patients. Furthermore, it is well known that ADPKD is commonly associated with colonic diverticular disease which recently has been reported to be linked to increased risk of infection on hemodialysis patients. Herein, we present a case of anterior abdominal wall abscess caused by Enterococcus faecalis in a patient with ADPKD undergoing hemodialysis. Although the precise pathway of infection remains uncertain, the previous medical history as well as the clinical course of our patient led us to hypothesize an alternative route of infection from the gastrointestinal tract through an aberrant intestinal barrier into the bloodstream and eventually to an atypical location.http://dx.doi.org/10.1155/2015/982575
spellingShingle Nikos Sabanis
Eleni Paschou
Eleni Gavriilaki
Maria Mourounoglou
Sotirios Vasileiou
Unexpected Abscess Localization of the Anterior Abdominal Wall in an ADPKD Patient Undergoing Hemodialysis
Case Reports in Nephrology
title Unexpected Abscess Localization of the Anterior Abdominal Wall in an ADPKD Patient Undergoing Hemodialysis
title_full Unexpected Abscess Localization of the Anterior Abdominal Wall in an ADPKD Patient Undergoing Hemodialysis
title_fullStr Unexpected Abscess Localization of the Anterior Abdominal Wall in an ADPKD Patient Undergoing Hemodialysis
title_full_unstemmed Unexpected Abscess Localization of the Anterior Abdominal Wall in an ADPKD Patient Undergoing Hemodialysis
title_short Unexpected Abscess Localization of the Anterior Abdominal Wall in an ADPKD Patient Undergoing Hemodialysis
title_sort unexpected abscess localization of the anterior abdominal wall in an adpkd patient undergoing hemodialysis
url http://dx.doi.org/10.1155/2015/982575
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AT elenigavriilaki unexpectedabscesslocalizationoftheanteriorabdominalwallinanadpkdpatientundergoinghemodialysis
AT mariamourounoglou unexpectedabscesslocalizationoftheanteriorabdominalwallinanadpkdpatientundergoinghemodialysis
AT sotiriosvasileiou unexpectedabscesslocalizationoftheanteriorabdominalwallinanadpkdpatientundergoinghemodialysis