[Encrusted pyelitis in a transplanted kidney].
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.
Alapont Alacreu
José Miguel
JM
Servicio de Urología Infantil, Hospital Universitario La Fe, Valencia, España. jmalapont@pulso.com
Domínguez Hinarejos
Carlos
C
Serrano Durbá
Agustín
A
Estornell Moragues
Francisco
F
Martínez Verduch
Mario
M
García Ibarra
Fernando
F
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
D017616:Magnesium Compounds; D010710:Phosphates; D000069877:Struvite