Emphysematous pyelonephritis in dialysis patient after embolization of failed allograft.
Emphysematous pyelonephritis is an uncommon acute infection characterized by the presence of gas in the renal parenchyma. Diabetics account for most cases, and the mortality rate is high. We report a case of emphysematous pyelonephritis after therapeutic embolization of a nonfunctioning renal graft in a nondiabetic dialysis patient. Given the increasing popularity of therapeutic embolization to control graft intolerance syndrome associated with rejected kidneys, physicians should be aware of this potentially severe complication. We discuss the differential diagnosis from entities requiring different management strategies, such as postembolization syndrome, persistence of graft intolerance, and the presence of sterile intrarenal.
Ortiz
Alberto
A
Department of Nephrology, Fundación Jiménez Díaz, Madrid, Spain. aortiz@fjd.es
Petkov
Vladimir
V
Urbano
Jose
J
Contreras
Julio
J
Alexandru
Simona
S
Garcia-Pérez
Alicia
A
Ramos
Ana
A
Cabrera
Jesus M
JM
Albalate
Marta
M
Garcia-Cardoso
Juan V
JV
D000328:Adult; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D004646:Emphysema / Q000209:etiology*; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D011704:Pyelonephritis / Q000209:etiology*; D006435:Renal Dialysis; D017211:Treatment Failure