Xanthogranulomatous pyelonephritis in a renal allograft recipient.

Abstract

Xanthogranulomatous pyelonephritis rarely occurs in renal allografts. This is the fifth reported case. Diagnosis was made by renal biopsy, which is usually performed to evaluate an elevated serum creatinine. Associated patient symptomology is nonspecific, and graft imaging with ultrasonography and computed tomography was not helpful as it would be with native kidney xanthogranulomatous pyelonephritis. Successful treatment with antibiotics may depend on the serum creatinine at presentation. Prognosis, therefore, is guarded, with a common outcome of irreversible renal dysfunction.

• Authors: H M Scarpero, J B Copley
• Journal: American journal of kidney diseases : the official journal of the National Kidney Foundation (Am J Kidney Dis) Vol. 30 Issue 6 Pg. 846-8 (Dec 1997) ISSN: 0272-6386 [Print] United States
• PMID: 9398131 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Infective Agents
• Ciprofloxacin
• Creatinine

Topics

• Adult
• Anti-Infective Agents (therapeutic use)
• Biopsy
• Ciprofloxacin (therapeutic use)
• Creatinine (blood)
• Female
• Follow-Up Studies
• Hodgkin Disease (pathology)
• Humans
• Kidney Transplantation (diagnostic imaging, pathology)
• Prognosis
• Pyelonephritis, Xanthogranulomatous (blood, drug therapy, pathology)
• Tomography, X-Ray Computed
• Transplantation, Homologous
• Treatment Outcome
• Ultrasonography