title: [Encrusted pyelitis in a transplanted kidney].
abstract: OBJECTIVE
  To emphasize the importance of early diagnosis of encrusted pyelitis in kidney transplant patients.
  
  
  METHODS
  We report one case of encrusted pyelitis in a 10-year-old girl with a kidney graft who was treated by means of nephrostomy tube irrigation with an acidifier liquid substance.
  
  
  RESULTS
  After 16 days of treatment there was a significant decrease of the size of the calcified pyelic plaque, keeping a good renal function afterwards.
  
  
  CONCLUSIONS
  This disease should be thought of in every case of kidney transplant patient with negative urine cultures and alkaline pH, and the microbiologist should be alerted of the possibility of urinary tract infection by Corynebacterium.
authors.affiliation: Servicio de Urología Infantil, Hospital Universitario La Fe, Valencia, España. jmalapont@pulso.com
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Alapont Alacreu
authors.forename: Carlos
authors.initials: C
authors.lastname: Domínguez Hinarejos
authors.forename: Agustín
authors.initials: A
authors.lastname: Serrano Durbá
authors.forename: Francisco
authors.initials: F
authors.lastname: Estornell Moragues
authors.forename: Mario
authors.initials: M
authors.lastname: Martínez Verduch
authors.forename: Fernando
authors.initials: F
authors.lastname: García Ibarra
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D017616:Magnesium Compounds / Q000032:analysis; D009403:Nephrostomy, Percutaneous; D010710:Phosphates / Q000032:analysis; D011183:Postoperative Complications / Q000175:diagnosis / Q000378:metabolism / Q000473:pathology* / Q000628:therapy; D011702:Pyelitis / Q000175:diagnosis / Q000378:metabolism / Q000473:pathology* / Q000628:therapy; D000069877:Struvite; D007507:Therapeutic Irrigation; D019459:Urothelium / Q000737:chemistry / Q000473:pathology
chemical_list: D017616:Magnesium Compounds; D010710:Phosphates; D000069877:Struvite