An unusual case of pyelonephritis in a pediatric renal transplant recipient.
Emphysematous (Gas-forming) pyelonephritis (EPN) is a rare and life-threatening infection of the renal parenchyma with or without involvement of the peri-renal tissues. Diagnosis of this condition is usually made on clinical and radiological grounds. Risk factors for this condition include diabetes mellitus, urinary tract obstruction, renal anomalies such as polycystic kidneys, stones, old age and others. Review of the literature did not reveal any reports of (EPN) in the pediatric age group especially in transplanted patients. We report the first case of EPN in a child, a 12-yr-old boy with a renal transplant, and discuss the various diagnostic and management issues of this particular case and EPN in general.
Al-Makadma
Abdulkarim S
AS
Section of Nephrology, Department of Pediatrics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. al_makadma@hotmail.com
Al-Akash
Samhar I
SI
D002648:Child; D004646:Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery; D007682:Kidney Pelvis / Q000000981:diagnostic imaging; D016030:Kidney Transplantation; D007684:Kidney Tubules / Q000473:pathology; D007685:Kidney Tubules, Collecting / Q000000981:diagnostic imaging; D008297:Male; D011704:Pyelonephritis / Q000209:etiology*; D014463:Ultrasonography