Department of Nephrology, All India Institute of Medical Sciences, New Delhi, 110029, India.
Clin Exp Nephrol. 2010 Feb;14(1):97-9. doi: 10.1007/s10157-009-0225-z. Epub 2009 Oct 1.
We present a renal allograft recipient 16 months posttransplant with an unusual infectious complication. This gentleman was antihepatitis C virus pretransplant, had a live unrelated transplant, and was taking cyclosporine, mycophenolate mofetil, and prednisolone. He developed diabetes and left scrotal abscess 3 months posttransplant and underwent left orchiectomy. He developed acute right epididymitis progressing to epididymal abscess, septicemia, and acute chronic graft dysfunction. Blood cultures and aspirated pus cultures grew Klebsiella pneumoniae and were treated with intravenous antibiotics, to which he responded. This case highlights an unusual complication in renal transplant and its successful management.
我们报告 1 例肾移植术后 16 个月的受者发生的一种不常见的感染性并发症。该患者移植前抗丙型肝炎病毒阳性，活体非亲缘供肾移植，使用环孢素、霉酚酸酯和泼尼松。术后 3 个月时，他发生糖尿病和左侧阴囊脓肿，行左侧睾丸切除术。随后他出现右侧急性附睾炎进展为附睾脓肿、败血症和急性慢性移植物功能障碍。血培养和抽吸脓液培养均生长肺炎克雷伯菌，给予静脉用抗生素治疗，患者对此治疗有反应。该病例突出了肾移植术后一种不常见并发症及其成功的处理方法。
