Abstract | PURPOSE: Its described three cases of Corynebacterium urealyticum (CU) infection in patients with renal transplantation and one of its most serious consequences: encrusted pyelitis and cystitis. It is explained the principal keys for its diagnosis, based in the appearance of alkaline pH in in urine analysis (alkaline urine), positives urinary cultures for CU, and the CT and US studies revealed the characteristic images of calcifications in the wall of renal pelvis and bladder. PATIENTS: RESULTS: Calcifications of the urinary tract were noticed in CT in all the patients. In two cases bladder stones were linear, and in the third case they were fundamentally coarse and placed in pelvis. The diagnosis suspicion showed by the images was confirmed by the use of prolonged urine cultures, necessary for detecting CU. All the patients were treated with vancomycin, with success in two of the cases and, finally needing surgery, and after loss of the graft, in the other case. CONCLUSION:
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Authors | V Vázquez, M D Morales, C Serrano, M Reus, S Llorente, J García |
Journal | Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia
(Nefrologia)
Vol. 24
Issue 3
Pg. 288-93
( 2004)
ISSN: 0211-6995 [Print] Spain |
Vernacular Title | Corynebacterium urealyticum en pacientes con trasplante renal. Imágenes características de la TC y ultrasonografía de la cistitis y pielitis incrustante. |
PMID | 15283321
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Anti-Bacterial Agents
- Vancomycin
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Topics |
- Adult
- Anti-Bacterial Agents
(therapeutic use)
- Corynebacterium
(isolation & purification)
- Corynebacterium Infections
(diagnostic imaging, drug therapy)
- Cystitis
(diagnostic imaging, drug therapy)
- Humans
- Kidney
(pathology, surgery)
- Kidney Transplantation
(adverse effects, diagnostic imaging)
- Male
- Middle Aged
- Pyelitis
(diagnostic imaging, drug therapy)
- Tomography, X-Ray Computed
- Treatment Outcome
- Ultrasonography
- Vancomycin
(therapeutic use)
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