Urged Nephrectomy in a Renal Transplant Recipient

Abstract

Urged Nephrectomy in a Renal
 Transplant Recipient
 
 Ajaz Koul,
 Aadil Rafeeq, Imtiyaz Wani, M. Salim Wani, Basharat Kasana, Arif Hamid
 
 Department of Medicine (Infectious Diseases),
 Nephrology and Urology, Sher-i Kashmir Institute of Medical Sciences, Srinagar,
 Kashmir India
 
  
 
 ABSTRACT
 
 Acute
 UTI not only affects a patient well-being but also gives rise to several issues
 like Interaction of antibiotics with immunosuppressive drugs, isolation of
 resistant strains, recurrent UTI, fungal UTI and most importantly Urosepsis,
 with impairment of graft function. We present the case of a patient with End
 stage renal disease. After successful allograft renal transplant the patient
 had multiple admissions with urosepsis. Received sensitive antibiotics for a
 prolonged period of time, almost six months but still persisted with infection.
 At last native kidney nephrectomy was done which removed the possible source
 and relieved the patient from antibiotics. This focuses the need for some
 pretransplant screening methods to gauge the possibility of getting serious
 urinary tract infections, better surgical techniques like early removal of
 urinary stents and highlights a huge void in understanding of UTIs in this
 group and lack of research work. J
 Microbiol Infect Dis 2018; 8(1):27-29
 
 Keywords:
 Urosepsis, Kidney transplant,
 Nephrectomy