Emphysematous pyelonephritis in failed renal allograft:Case report and review of literature
Emphysematous pyelonephritis (EPN) in renal allograft is rare but potentially lethal complication and requires aggressive medical and/or surgical therapy to achieve cure. We report a case of 60-year-old diabetic male with poor cardiac function on maintenance hemodialysis, who underwent delayed allog...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2016;volume=8;issue=1;spage=111;epage=113;aulast=Bansal |
| _version_ | 1828526642673221632 |
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| author | Rahul Kumar Bansal Shahid Lambe Anil Kapoor |
| author_facet | Rahul Kumar Bansal Shahid Lambe Anil Kapoor |
| author_sort | Rahul Kumar Bansal |
| collection | DOAJ |
| description | Emphysematous pyelonephritis (EPN) in renal allograft is rare but potentially lethal complication and requires aggressive medical and/or surgical therapy to achieve cure. We report a case of 60-year-old diabetic male with poor cardiac function on maintenance hemodialysis, who underwent delayed allograft nephrectomy for EPN in failed renal allograft. Blood culture grew Bacteroides. He was stable in the postoperative period but passed away on day 4 due to myocardial infarction likely secondary to poor baseline cardiac function. Delay in diagnosis and treatment could have contributed to this unfavorable outcome. There is a paucity of published literature regarding EPN in the transplant population, such that management decisions (percutaneous conservative versus urgent surgical) are challenging. Further studies are required to establish treatment guidelines. |
| first_indexed | 2024-12-11T21:27:51Z |
| format | Article |
| id | doaj.art-8ece03f9f1df457a95c88ea2dd4b01f7 |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-12-11T21:27:51Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-8ece03f9f1df457a95c88ea2dd4b01f72022-12-22T00:50:16ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342016-01-018111111310.4103/0974-7796.171500Emphysematous pyelonephritis in failed renal allograft:Case report and review of literatureRahul Kumar BansalShahid LambeAnil KapoorEmphysematous pyelonephritis (EPN) in renal allograft is rare but potentially lethal complication and requires aggressive medical and/or surgical therapy to achieve cure. We report a case of 60-year-old diabetic male with poor cardiac function on maintenance hemodialysis, who underwent delayed allograft nephrectomy for EPN in failed renal allograft. Blood culture grew Bacteroides. He was stable in the postoperative period but passed away on day 4 due to myocardial infarction likely secondary to poor baseline cardiac function. Delay in diagnosis and treatment could have contributed to this unfavorable outcome. There is a paucity of published literature regarding EPN in the transplant population, such that management decisions (percutaneous conservative versus urgent surgical) are challenging. Further studies are required to establish treatment guidelines.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2016;volume=8;issue=1;spage=111;epage=113;aulast=BansalEmphysematous pyelonephritisnephrectomyrenal allograft |
| spellingShingle | Rahul Kumar Bansal Shahid Lambe Anil Kapoor Emphysematous pyelonephritis in failed renal allograft:Case report and review of literature Urology Annals Emphysematous pyelonephritis nephrectomy renal allograft |
| title | Emphysematous pyelonephritis in failed renal allograft:Case report and review of literature |
| title_full | Emphysematous pyelonephritis in failed renal allograft:Case report and review of literature |
| title_fullStr | Emphysematous pyelonephritis in failed renal allograft:Case report and review of literature |
| title_full_unstemmed | Emphysematous pyelonephritis in failed renal allograft:Case report and review of literature |
| title_short | Emphysematous pyelonephritis in failed renal allograft:Case report and review of literature |
| title_sort | emphysematous pyelonephritis in failed renal allograft case report and review of literature |
| topic | Emphysematous pyelonephritis nephrectomy renal allograft |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2016;volume=8;issue=1;spage=111;epage=113;aulast=Bansal |
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