A rare case of emphysematous pyelonephritis in a renal transplant patient. (December 2016)

• Record Type: Journal Article
• Authors: Narcisse, Dennis; Agarwal, Manyoo; Hancock, Michael; Wells, Daniel; Sands, Christopher
• Is Part Of: Therapeutic advances in infectious disease. Volume 3:Number 6(2016:Dec.)
• Page Start: 141
• Page End: 144
• Publication Date: 2016-12
• Subjects: allograft -- kidney -- pyelonephritis -- transplant; Communicable diseases -- Treatment -- Periodicals; Infection -- Treatment -- Periodicals; 616.905
• DOI: 10.1177/2049936116678122
• Languages: English
• ISSNs: 2049-9361

Abstract

Emphysematous pyelonephritis (EPN) is a rare life-threatening complication of a properly functioning renal allograft leading to potential graft loss and hemodialysis. Currently, no clear management guidelines exist in these clinically challenging immunosuppressed renal transplant recipients. We report a case of a 62-year-old woman who presented with class 4 EPN and was managed with intravenous antibiotics and nephrectomy at our medical center.