Xanthogranulomatous pyelonephritis in a renal allograft.
We report a case of xanthogranulomatous pyelonephritis in a cadaver kidney allograft. The patient had diabetic glomerulosclerosis. The predisposing factors that led to this condition included hyperglycemia, a previous rejection reaction and Escherichia coli urinary infection. Persistent fever, pyuria, bacilluria and a nonfunctioning allograft resulted in allograft nephrectomy. The diagnosis was made on histological examination. Diagnostic criteria for xanthogranulomatous pyelonephritis in the allografted kidney are similar to those in the native kidney.
Ribot
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Division of Nephrology, Newark Beth Israel Medical Center, New Jersey 07112.
Campbell
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Eslami
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D000328:Adult; D004927:Escherichia coli Infections; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D011183:Postoperative Complications; D011705:Pyelonephritis, Xanthogranulomatous / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014184:Transplantation, Homologous; D014552:Urinary Tract Infections / Q000150:complications