Gram-negative sepsis following biopsy of a transplant recipient with asymptomatic allograft pyelonephritis

CEN Case Reports
Hassan Al-KhayyatPeter Hughes

Abstract

Pyelonephritis post-renal transplantation is common and in up to 50% of cases can be asymptomatic. Transplant pyelonephritis shares a lot of histopathological features with acute cellular rejection. We present a case of asymptomatic acute graft pyelonephritis where a renal biopsy was complicated by sepsis, and discuss the difficulties in interpretation of renal histology in the setting of transplant pyelonephritis where rejection may also be a possibility, but differentiation is challenging.

References

Apr 23, 2002·Kidney International·Magali GiralJean Paul Soulillou
Feb 9, 2007·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·G PelléA Vandewalle
Oct 2, 2008·European Journal of Clinical Investigation·M Säemann, W H Hörl
Oct 24, 2009·Journal of Clinical Pathology·R John, A M Herzenberg
Sep 2, 2010·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Silvana FioranteJosé María Aguado
Feb 14, 2014·Transplantation·Steve OghumuAnjali A Satoskar
Aug 15, 2014·Indian Journal of Nephrology·P P VarmaS Badwal

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Citations

May 13, 2020·Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia·Muhammad Khalid IdreesSyed Fazal Akhtar
Dec 29, 2020·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Julien CoussementDaniel Abramowicz
Nov 6, 2020·Current Opinion in Infectious Diseases·Julien CoussementOriol Manuel
Sep 13, 2020·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·Julien CoussementUNKNOWN Bacteriuria in Renal Transplantation (BiRT) study group

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