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KIKUCHI Ken
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Professor |
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| Article types | Case report |
| Language | English |
| Peer review | Peer reviewed |
| Title | First case of a renal cyst infection caused by Desulfovibrio: a case report and literature review. |
| Journal | Formal name：BMC nephrology Abbreviation：BMC Nephrol ISSN code：14712369/14712369 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 23(1),pp.194 |
| Author and coauthor | Okamoto Yoshiki, Miyabe Yoei, Seki Momoko, Ushio Yusuke, Sato Keisuke, Kasama Eri, Akiyama Kenichi, Karasawa Kazunori, Uchida Keiko, Kikuchi Ken, Nitta Kosaku, Moriyama Takahito, Hoshino Junichi |
| Publication date | 2022/05 |
| Summary | BACKGROUND:Genus Desulfovibrio species is a sulphate-reducing anaerobic gram-negative rod that resides in the human oral cavity and intestinal tract. It was reported as the causative pathogen of bacteraemia and abdominal infections, but not renal cyst infection, and Desulfovibrio fairfieldensis has higher pathogenicity than other Desulfovibrio species.CASE PRESENTATION:A 63-year-old man was on haemodialysis for end-stage renal failure due to autosomal dominant polycystic kidney disease. On admission, he had a persistent high-grade fever, right lumbar back pain, and elevated C-reactive protein levels. His blood and urine cultures were negative. He received ciprofloxacin and meropenem; however, there was no clinical improvement. Contrast-enhanced computed tomography and plain magnetic resonance imaging revealed a haemorrhagic cyst at the upper pole of the right kidney. The lesion was drained. Although the drainage fluid culture was negative, D. fairfieldensis was detected in a renal cyst using a polymerase chain reaction. After the renal cyst drainage, he was treated with oral metronidazole and improved without any relapse.CONCLUSIONS:To the best of our knowledge, this is the first reported case of a renal cyst infection with Desulfovibrio species. D. fairfieldensis is difficult to detect, and polymerase chain reaction tests can detect this bacterium and ensure better management for a successful recovery. |
| DOI | 10.1186/s12882-022-02803-w |
| PMID | 35606754 |