Epididymal abscess in renal transplant: uncommon presentation of Klebsiella septicemia.
We present a renal allograft recipient 16 months posttransplant with an unusual infectious complication. This gentleman was antihepatitis C virus pretransplant, had a live unrelated transplant, and was taking cyclosporine, mycophenolate mofetil, and prednisolone. He developed diabetes and left scrotal abscess 3 months posttransplant and underwent left orchiectomy. He developed acute right epididymitis progressing to epididymal abscess, septicemia, and acute chronic graft dysfunction. Blood cultures and aspirated pus cultures grew Klebsiella pneumoniae and were treated with intravenous antibiotics, to which he responded. This case highlights an unusual complication in renal transplant and its successful management.
Department of Nephrology, All India Institute of Medical Sciences, New Delhi, 110029, India. parthankur@yahoo.com
Ankur
A
Gupta
Charanjit
C
Lal
Sanjay Kumar
SK
Agarwal
Sandeep
S
Mahajan
Dipankar M
DM
Bhowmik
D000038:Abscess / Q000188:drug therapy / Q000382:microbiology; D000328:Adult; D002511:Cephalosporins / Q000627:therapeutic use; D016572:Cyclosporine / Q000627:therapeutic use; D004822:Epididymis / Q000382:microbiology*; D005832:Genital Diseases, Male / Q000382:microbiology*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D016030:Kidney Transplantation / Q000009:adverse effects*; D007710:Klebsiella Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D007711:Klebsiella pneumoniae / Q000302:isolation & purification*; D008297:Male; D009173:Mycophenolic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D018805:Sepsis / Q000382:microbiology*
D002511:Cephalosporins; D007166:Immunosuppressive Agents; D016572:Cyclosporine; D011239:Prednisolone; D009173:Mycophenolic Acid