title: Extensive emphysematous pyelonephritis in a renal allograft: case report and review of literature.
abstract: Emphysematous pyelonephritis (EPN) is an acute, severe necrotizing infection of the renal parenchyma and perirenal tissue, which results in the presence of gas within the renal parenchyma, collecting system, or perinephric tissue. EPN of renal allograft is rare, with only 23 cases reported in Western literature. Here, we report a patient treated successfully with surgery. We also review the literature, focusing on old and new suggested classification systems for EPN.
authors.affiliation: Department of Urology, Vall d'Hebrón Hospital, Barcelona, Barcelona, Spain.
authors.forename: F
authors.initials: F
authors.lastname: Agreda Castañeda
authors.forename: D
authors.initials: D
authors.lastname: Lorente
authors.forename: E
authors.initials: E
authors.lastname: Trilla Herrera
authors.forename: C
authors.initials: C
authors.lastname: Gasanz Serrano
authors.forename: P
authors.initials: P
authors.lastname: Servian Vives
authors.forename: I
authors.initials: I
authors.lastname: Iztueta Saavedra
authors.forename: J
authors.initials: J
authors.lastname: Morote Robles
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004322:Drainage; D004927:Escherichia coli Infections / Q000188:drug therapy / Q000473:pathology*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D011704:Pyelonephritis / Q000382:microbiology / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents
keywords: allograft nephrectomy; classification system; emphysematous pyelonephritis; kidney transplant; urinary tract infection