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Genital abnormalities have been reported in up to 12 percent of men with unilateral renal agenesis.(1) There have also been reports of neurofibromatosis patients manifesting ipsilateral renal agenesis.(2) Abnormal development of the mesonephric duct between the fourth and thirteenth week of embryonic life seems to be the origin of such cysts, which can have a variable clinical presentation.(3) The presence of seminal vesicle cysts in patients with renal agenesis is well documented.(4,5) Approximately 68 percent of all seminal vesicle cysts are associated with renal agenesis.(1) Here we report a 26-year old patient with neurofibromatosis type 1, unilateral renal agenesis, and a known seminal vesicle cyst who presented to the Emergency Department with bacteremia caused by an infected dual lumen hemodialysis catheter.

Acute infection of a documented seminal vesicle cyst via hematogenous seeding.