eISSN 2329-0358

Logo



Get your full text copy in PDF

Emphysematous pyelonephritis in a renal transplant recipient – Is it possible to salvage the graft?

Venkatramani Vivek, Arabind Panda, Antony Devasia

Ann Transplant 2012; 17(3): 138-141

DOI: 10.12659/AOT.883469


Background:    Emphysematous pyelonephritis (EPN) is a rare but potentially devastating complication after renal transplantation. It carries the risk of graft loss and is associated with a high mortality. The majority of cases reported thus far have undergone graft nephrectomy.
    Case Report:    We report the case of a live-related renal transplant recipient who presented 10 years later with fever, graft tenderness and worsening serum creatinine. Computed tomography (CT) revealed emphysematous pyelonephritis, with a large perinephric collection. The case was managed successfully by percutaneous drainage.
    Conclusions:    Percutaneous drainage is a safe and effective therapeutic modality in cases of EPN in transplant recipients, and allows salvage of the renal allograft in most cases.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree