Case of emphysematous pyelonephritis in kidney allograft: Conservative treatment
Palabras clave : 
Emphysematous pyelonephritis
Kidney
Allograft
Treatment
Factors
Fecha de publicación: 
2014
Editorial : 
Journal de l association des urologues du Canada
ISSN: 
1911-6470
Cita: 
Tienza A, Hevia M, Merino I, Velis JM, Algarra R, Pascual JI, et al. Case of emphysematous pyelonephritis in kidney allograft: Conservative treatment. Can Urol Assoc J. 2014 Mar;8(3-4):E256-9.
Resumen
Emphysematous pyelonephritis is an acute necrotizing infection with gas in the kidney and perinephric space that carries a bad prognosis. Apart from its predisposing clinical entities, diabetes mellitus and immune-incompetence are quite common in patients with this infection. We report a case of a 53-year-old kidney transplant recipient diabetic male, suffering from recurrent fever, abdominal pain and nausea episodes. Immediate broad-spectrum antibiotics were administered and percutaneous drainage was performed after the diagnosis. The bacteria involved were Stahpylococcus epidermidis and Escherichia coli. After 4 weeks of antibiotic treatment and abscesses drainage, the case was resolved. Consecutives urine cultures and ultrasonographies confirm the complete resolution of the disease. We discuss the predisposing factors, clinical presentation and management.

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Fichero: 
cuaj-3-4-e256.pdf
Descripción: 
Tamaño: 
3,58 MB
Formato: 
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