Popli S, Daugirdas J T, Ing T S, Geis W P, Leehey D J, Gandhi V C
Am J Nephrol. 1985;5(6):431-2. doi: 10.1159/000166977.
Fever occurred in a man 6 weeks after renal transplantation. At the time of transplantation, the donor ureter had been anastomosed to a ureteroileal conduit created 6 years previously because of traumatic neurogenic bladder. Initial evaluation failed to reveal the cause of the fever, but ultimately, drainage of the defunctionalized bladder yielded a large amount of pus infected with Klebsiella pneumoniae. Our patient's course suggests that, when fever develops after renal transplantation in patients with previous urinary diversion, pyocystis should be included in the differential diagnosis.
一名男子在肾移植6周后出现发热。移植时，供体输尿管已与6年前因创伤性神经源性膀胱而创建的输尿管回肠造口吻合。初步评估未能揭示发热原因，但最终，对无功能膀胱进行引流得到大量感染肺炎克雷伯菌的脓液。我们患者的病程提示，既往有尿路改道的患者在肾移植后出现发热时，脓性囊肿应列入鉴别诊断。
