Case of emphysematous pyelonephritis in kidney allograft: Conservative treatment.
Emphysematous pyelonephritis is an acute necrotizing infection with gas in the kidney and perinephric space that carries a bad prognosis. Apart from its predisposing clinical entities, diabetes mellitus and immune-incompetence are quite common in patients with this infection. We report a case of a 53-year-old kidney transplant recipient diabetic male, suffering from recurrent fever, abdominal pain and nausea episodes. Immediate broad-spectrum antibiotics were administered and percutaneous drainage was performed after the diagnosis. The bacteria involved were Stahpylococcus epidermidis and Escherichia coli. After 4 weeks of antibiotic treatment and abscesses drainage, the case was resolved. Consecutives urine cultures and ultrasonographies confirm the complete resolution of the disease. We discuss the predisposing factors, clinical presentation and management.
Clínica Universidad de Navarra, Pamplona, Spain.
Antonio
A
Tienza
Clínica Universidad de Navarra, Pamplona, Spain.
Mateo
M
Hevia
Clínica Universidad de Navarra, Pamplona, Spain.
Imanol
I
Merino
Clínica Universidad de Navarra, Pamplona, Spain.
Jose Maria
JM
Velis
Clínica Universidad de Navarra, Pamplona, Spain.
Ruben
R
Algarra
Clínica Universidad de Navarra, Pamplona, Spain.
Juan Ignacio
JI
Pascual
Clínica Universidad de Navarra, Pamplona, Spain.
Juan Javier
JJ
Zudaire
Clínica Universidad de Navarra, Pamplona, Spain.
Jose Enrique
JE
Robles