Urged Nephrectomy in a Renal Transplant Recipient

Year 2018, Volume: 08 Issue: 01, 27 - 29, 15.03.2018

Ajaz Koul Aadil Rafeeq İmtiyaz Wani M. Salim Wani Basharat Kasana Arif Hamid

https://doi.org/10.5799/jmid.404239

Abstract

Urged Nephrectomy in a Renal
Transplant Recipient

Ajaz Koul,
Aadil Rafeeq, Imtiyaz Wani, M. Salim Wani, Basharat Kasana, Arif Hamid

Department of Medicine (Infectious Diseases),
Nephrology and Urology, Sher-i Kashmir Institute of Medical Sciences, Srinagar,
Kashmir India

 

ABSTRACT

Acute
UTI not only affects a patient well-being but also gives rise to several issues
like Interaction of antibiotics with immunosuppressive drugs, isolation of
resistant strains, recurrent UTI, fungal UTI and most importantly Urosepsis,
with impairment of graft function. We present the case of a patient with End
stage renal disease. After successful allograft renal transplant the patient
had multiple admissions with urosepsis. Received sensitive antibiotics for a
prolonged period of time, almost six months but still persisted with infection.
At last native kidney nephrectomy was done which removed the possible source
and relieved the patient from antibiotics. This focuses the need for some
pretransplant screening methods to gauge the possibility of getting serious
urinary tract infections, better surgical techniques like early removal of
urinary stents and highlights a huge void in understanding of UTIs in this
group and lack of research work. J
Microbiol Infect Dis 2018; 8(1):27-29

Keywords:
Urosepsis, Kidney transplant,
Nephrectomy

Keywords

Urosepsis, Kidney transplant, Nephrectomy

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