Case 2-1978

Abstract

Presentation of Case A 41-year-old woman was admitted to the hospital because of cough and chest pain. There was a long history of repeated urinary-tract infections. Seven years before admission an intravenous pyelographic examination with nephrotomograms disclosed polycystic renal disease. Mild hypertension was treated with methyldopa. During the next seven years her renal function gradually deteriorated. Eight months before admission extracorporeal hemodialysis was begun. One month thereafter a cadaver renal allograft was implanted, and the patient was maintained on azathioprine and prednisone. The allograft failed to function, and hemodialysis was continued for the next 36 days. Fever developed, and cultures . . .