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Al-Khayyat H, Toussaint N, Holt S, et al. Gram-negative sepsis following biopsy of a transplant recipient with asymptomatic allograft pyelonephritis. CEN Case Rep. 2016;6(1):46-49doi: 10.1007/s13730-016-0241-2.
Al-Khayyat, H., Toussaint, N., Holt, S., & Hughes, P. (2017). Gram-negative sepsis following biopsy of a transplant recipient with asymptomatic allograft pyelonephritis. CEN case reports, 6(1), 46-49. https://doi.org/10.1007/s13730-016-0241-2
Al-Khayyat, Hassan, et al. "Gram-negative sepsis following biopsy of a transplant recipient with asymptomatic allograft pyelonephritis." CEN case reports vol. 6,1 (2017): 46-49. doi: https://doi.org/10.1007/s13730-016-0241-2
Al-Khayyat H, Toussaint N, Holt S, Hughes P. Gram-negative sepsis following biopsy of a transplant recipient with asymptomatic allograft pyelonephritis. CEN Case Rep. 2017 May;6(1):46-49. doi: 10.1007/s13730-016-0241-2. Epub 2016 Nov 04. PMID: 28509126; PMCID: PMC5438806.
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CEN Case Rep. 2017 May;6(1):46-49. doi: 10.1007/s13730-016-0241-2. Epub 2016 Nov 04.

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

CEN case reports

Hassan Al-Khayyat, Nigel Toussaint, Steve Holt, Peter Hughes

Affiliations

  1. Department of Nephrology, The Royal Melbourne Hospital, Grattan Street, Parkville, VIC, 3052, Australia. [email protected].
  2. Department of Nephrology, The Royal Melbourne Hospital, Grattan Street, Parkville, VIC, 3052, Australia.
  3. Department of Medicine, University of Melbourne, Parkville, VIC, Australia.

PMID: 28509126 PMCID: PMC5438806 DOI: 10.1007/s13730-016-0241-2

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.

Keywords: Acute graft pyelonephritis; Transplantation; Urinary tract infections

References

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