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Abstract - Urged Nephrectomy in A Renal Transplant Recipient
Dr. Ajaz Koul, Aadil Rafeeq Rather, Imtiyaz Wani, M. Salim Wani, Basharat Kasana, Arif Hamid

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

Volume 08, Number 01 (2018)