Postimplantation syndrome in a kidney trasplant patient: fever is not always synonimous with infection.
Fever in an immunocompromised patient like the transplanted subject is usually due to an overt or occult infection. Clinicians must make important decisions to find the cause of fever, and also concerning the timing and adequacy of empiric antibiotic therapy. However, occasionally, fever is not due to an infectious cause. A correct identification of its causes may avoid a needlessly prolonged course of antibiotics. Herein we have reported a kidney transplant patient with a febrile syndrome, which appeared after endovascular aortoiliac stent-graft placement, that was finally attributed to a noninfectious cause like postimplantation syndrome.
Regidor
D
D
Department of Nephrology, Hospital Virgen de la Salud, Toledo, Spain.
Ahijado
F J
FJ
Muñoz
M A
MA
Romero
M
M
Roca
A
A
Diaz-Tejeiro
R
R
Leal
I
I
Conde
J L
JL
D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D005334:Fever / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007239:Infections / Q000175:diagnosis; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D015607:Stents; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome