Late infection of an embolized renal graft presented as buttock cellulitis.
Graft intolerance syndrome (GIS) is a common complication developed in failed kidney allografts left in situ when the patients returned to hemodialysis. GIS usually develops within the first 6 months after immunosuppression has been withdrawn. When medical treatment has failed, transplantectomy is the conventional therapy. Nevertheless, in recent years, transvascular ethanol embolization has been reported as an effective, safe, and less invasive technique than transplantectomy for the management of patients with GIS. Although infrequent, the most severe complication is infection of the graft or surrounding tissues, which usually appears in the first weeks after the procedure. We present the first case of late infection of an embolized renal graft, more than 2 years after embolization.
Pérez Rodríguez
M T
MT
Internal Medicine Department, Hospital Universitario Xeral-Cíes of Vigo, Pontevedra, Spain.
Sopeña
B
B
Lueiro
F
F
Martínez-Vázquez
C
C
D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002081:Buttocks; D002481:Cellulitis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D013293:Enterococcus faecalis; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006084:Graft Rejection / Q000628:therapy*; D016908:Gram-Positive Bacterial Infections / Q000209:etiology*; D006801:Humans; D016030:Kidney Transplantation; D008875:Middle Aged
D000900:Anti-Bacterial Agents; D005839:Gentamicins; D000667:Ampicillin