Cyst infection is a recognised complication of polycystic liver disease. When a hepatic cyst becomes infected, initial antibiotic treatment is frequently inadequate — even prolonged courses often fail to resolve the infection — making further intervention necessary.
Polycystic liver disease complicated by an infected hepatic cyst. Antibiotic therapy, including agents that diffuse into intracystic fluid, is often insufficient despite courses lasting at least two to three weeks.
When prolonged antibiotic therapy does not achieve resolution, a procedural intervention targeting the infected cyst directly may be required. The full structured regimen — including the specific technique and decision criteria — is available via the protocol.
DOI: 10.1016/j.jviscsurg.2018.07.004
Treatment with antibiotics (including a fluoroquinolone that diffuses well into intracystic fluid) is often insufficient despite prolonged treatment, which must be for at least two or three weeks.
When prolonged antibiotic therapy (3 weeks) is not effective, it may be necessary to needle aspirate and drain the infected cyst(s).
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