Kalra O P, Malik N, Minz M, Gupta K L, Sakhuja V, Chugh K S
Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Int J Artif Organs. 1993 Jan;16(1):41-4.
A 35-year-old nondiabetic renal allograft recipient developed emphysematous pyelonephritis and cystitis emphysematosa necessitating graft nephrectomy. The patient received cyclosporin and prednisolone as immunosuppressive therapy. He developed the first episode of urinary tract infection one week after transplantation and another episode 3 months later. Abdominal CT scan revealed presence of gas in the graft kidney, urinary bladder, and surrounding tissues. Despite appropriate antibiotic therapy, his renal function deteriorated rapidly and he died on the first postoperative day.
一名35岁的非糖尿病肾移植受者发生了气肿性肾盂肾炎和气肿性膀胱炎，需要进行移植肾切除术。患者接受环孢素和泼尼松龙作为免疫抑制治疗。他在移植后一周发生了首次尿路感染，3个月后又发生了一次。腹部CT扫描显示移植肾、膀胱及周围组织中有气体。尽管进行了适当的抗生素治疗，但其肾功能迅速恶化，术后第一天死亡。
