title: Abscess of Native Kidney Caused by Carbapenem-Resistant Acinetobacter baumannii (CRAB) in Renal Transplantation: A Case Report.
abstract: BACKGROUND
  Abscess of native kidney is a rare postoperative event after renal transplantation. This report describes a case of back pain, fever and pyuria caused by carbapenem-resistant Acinetobacter baumannii (CRAB) in a patient who underwent renal-transplantation.
  
  
  METHODS
  A 40-year-old man, presenting with hypertension and renal failure, underwent renal transplantation 1 month previously. He developed sudden intense back pain and fever (39°C). There was normal blood flow in graft kidney but there were the swelling and cyst of right native kidney. We aspirated the pus in native kidney and performed the native nephrectomy. The carbapenem-resistant Acinetobacter baumannii (CRAB) was isolated as in pus and native kidney. We performed the tigecyline monotherapy during 3 weeks. He recovered without complication after treatment.
  
  
  CONCLUSIONS
  To our knowledge, no report in the literature to date describes abscess in native kidney secondary to CRAB in a renal transplant. Infections caused by CRAB have become critical for immunosuppressed patients. The presence of complication greater risk, by an organism whose pathogenicity and virulence are not yet elucidated should determine an aggressive empirical antimicrobial therapy.
authors.affiliation: Department of Surgery, Inha University Hospital, Incheon, Korea.
authors.forename: Y-M
authors.initials: YM
authors.lastname: Choe
authors.affiliation: Department of Surgery, Inha University Hospital, Incheon, Korea. Electronic address: redfrag@naver.com.
authors.forename: K-M
authors.initials: KM
authors.lastname: Park
authors.affiliation: Department of Radiology, Inha University Hospital, Incheon, Korea.
authors.forename: Y S
authors.initials: YS
authors.lastname: Jeon
authors.affiliation: Department of Radiology, Inha University Hospital, Incheon, Korea.
authors.forename: S G
authors.initials: SG
authors.lastname: Cho
authors.affiliation: Department of Surgery, Inha University Hospital, Incheon, Korea.
authors.forename: K C
authors.initials: KC
authors.lastname: Hong
authors.affiliation: Department of Surgery, Inha University Hospital, Incheon, Korea.
authors.forename: W Y
authors.initials: WY
authors.lastname: Shin
authors.affiliation: Department of Nephrology, Inha University Hospital, Incheon, Korea.
authors.forename: J H
authors.initials: JH
authors.lastname: Song
mesh_terms: D000038:Abscess / Q000188:drug therapy / Q000382:microbiology*; D000151:Acinetobacter Infections / Q000188:drug therapy* / Q000382:microbiology; D040981:Acinetobacter baumannii / Q000302:isolation & purification*; D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D015780:Carbapenems / Q000494:pharmacology*; D024881:Drug Resistance, Bacterial; D006801:Humans; D016867:Immunocompromised Host; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male
chemical_list: D000890:Anti-Infective Agents; D015780:Carbapenems