Complex, Crusty Calculi: A Case Study Report of Renal Transplant Lithiasis and Encrustation
Ureteric encrustation and lithiasis after renal transplantation are rare but not without risk of obstruction and graft loss. Patients are usually asymptomatic, and a majority present with graft dysfunction with imaging demonstrating hydronephrosis and rarely with acute graft pyelonephritis. We compa...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-06-01
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| Series: | Transplantation Direct |
| Online Access: | http://journals.lww.com/transplantationdirect/fulltext/10.1097/TXD.0000000000001468 |
| _version_ | 1797791990607249408 |
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| author | Shriram Swaminathan, BMed In-Ah Park, MBBS Bobby Chacko, FRACP |
| author_facet | Shriram Swaminathan, BMed In-Ah Park, MBBS Bobby Chacko, FRACP |
| author_sort | Shriram Swaminathan, BMed |
| collection | DOAJ |
| description | Ureteric encrustation and lithiasis after renal transplantation are rare but not without risk of obstruction and graft loss. Patients are usually asymptomatic, and a majority present with graft dysfunction with imaging demonstrating hydronephrosis and rarely with acute graft pyelonephritis. We compare a case of transplant lithiasis with encrusted pyelitis and highlight key differences in their presentation and workup. A key focus for transplant physicians is to recognize when dealing with transplant hydronephrosis that the presence of a high urine pH and pyuria should be a key indicator to suspect ureteric encrustation to look for a urease-producing organism, recognizing that such organisms require prolonged incubation with urine culturing for up to 72 h. |
| first_indexed | 2024-03-13T02:27:42Z |
| format | Article |
| id | doaj.art-f6de7a7bbaea474faef192839e11f20a |
| institution | Directory Open Access Journal |
| issn | 2373-8731 |
| language | English |
| last_indexed | 2024-03-13T02:27:42Z |
| publishDate | 2023-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Transplantation Direct |
| spelling | doaj.art-f6de7a7bbaea474faef192839e11f20a2023-06-30T01:53:18ZengWolters KluwerTransplantation Direct2373-87312023-06-0196e146810.1097/TXD.0000000000001468202306000-00002Complex, Crusty Calculi: A Case Study Report of Renal Transplant Lithiasis and EncrustationShriram Swaminathan, BMed0In-Ah Park, MBBS1Bobby Chacko, FRACP21 Nephrology and Transplantation Unit, John Hunter Hospital, Newcastle, NSW, Australia.1 Nephrology and Transplantation Unit, John Hunter Hospital, Newcastle, NSW, Australia.1 Nephrology and Transplantation Unit, John Hunter Hospital, Newcastle, NSW, Australia.Ureteric encrustation and lithiasis after renal transplantation are rare but not without risk of obstruction and graft loss. Patients are usually asymptomatic, and a majority present with graft dysfunction with imaging demonstrating hydronephrosis and rarely with acute graft pyelonephritis. We compare a case of transplant lithiasis with encrusted pyelitis and highlight key differences in their presentation and workup. A key focus for transplant physicians is to recognize when dealing with transplant hydronephrosis that the presence of a high urine pH and pyuria should be a key indicator to suspect ureteric encrustation to look for a urease-producing organism, recognizing that such organisms require prolonged incubation with urine culturing for up to 72 h.http://journals.lww.com/transplantationdirect/fulltext/10.1097/TXD.0000000000001468 |
| spellingShingle | Shriram Swaminathan, BMed In-Ah Park, MBBS Bobby Chacko, FRACP Complex, Crusty Calculi: A Case Study Report of Renal Transplant Lithiasis and Encrustation Transplantation Direct |
| title | Complex, Crusty Calculi: A Case Study Report of Renal Transplant Lithiasis and Encrustation |
| title_full | Complex, Crusty Calculi: A Case Study Report of Renal Transplant Lithiasis and Encrustation |
| title_fullStr | Complex, Crusty Calculi: A Case Study Report of Renal Transplant Lithiasis and Encrustation |
| title_full_unstemmed | Complex, Crusty Calculi: A Case Study Report of Renal Transplant Lithiasis and Encrustation |
| title_short | Complex, Crusty Calculi: A Case Study Report of Renal Transplant Lithiasis and Encrustation |
| title_sort | complex crusty calculi a case study report of renal transplant lithiasis and encrustation |
| url | http://journals.lww.com/transplantationdirect/fulltext/10.1097/TXD.0000000000001468 |
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