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CASE REPORT
Year : 2007  |  Volume : 23  |  Issue : 4  |  Page : 476-478

Emphysematous prostatitis in renal transplant


1 Department of Nephrology, Meenakshi Mission Hospital and Research Centre, Lake Area, Melur Road, Madurai - 625 107, India
2 Department of Urology, Meenakshi Mission Hospital and Research Centre, Lake Area, Melur Road, Madurai - 625 107, India

Correspondence Address:
Krishnaswamy Sampathkumar
Department of Nephrology, Meenakshi Mission Hospital and Research Centre, Lake Area, Melur Road, Madurai, Tamil Nadu - 625 107
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.36728

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Urinary tract infections are common following renal transplant. The spectrum varies from asymptomatic bacteriuria to septicemia. Gas-producing infections of the urinary tract are rare but tend to have a grave prognosis when they do occur. We report a 57-year-old gentleman who underwent a renal transplant 20 months earlier. He presented to us with fever and dysuria. Clinical examination revealed a febrile and ill-looking patient with severe graft tenderness. An emergency pelvic CT scan revealed presence of emphysematous prostatitis, cystitis and pyelitis. Urine and blood cultures grew E. coli . Endoscopic abscess drainage was done and antibiotics given but he succumbed to his illness due to multiorgan failure within 48h. This is the first reported case of emphysematous prostatitis in a renal allograft recipient.


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