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Gram-negative sepsis following biopsy of a transplant recipient with asymptomatic allograft pyelonephritis

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Abstract

Pyelonephritis post-renal transplantation is common and in up to 50% of cases can be asymptomatic. Transplant pyelonephritis shares a lot of histopathological features with acute cellular rejection. We present a case of asymptomatic acute graft pyelonephritis where a renal biopsy was complicated by sepsis, and discuss the difficulties in interpretation of renal histology in the setting of transplant pyelonephritis where rejection may also be a possibility, but differentiation is challenging.

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Authors and Affiliations

  1. Department of Nephrology, The Royal Melbourne Hospital, Grattan Street, Parkville, VIC, 3052, Australia

    Hassan Al-Khayyat, Nigel Toussaint, Steve Holt & Peter Hughes

  2. Department of Medicine, University of Melbourne, Parkville, VIC, Australia

    Nigel Toussaint & Steve Holt

Authors
  1. Hassan Al-Khayyat
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  2. Nigel Toussaint
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  3. Steve Holt
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  4. Peter Hughes
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Corresponding author

Correspondence to Hassan Al-Khayyat.

Ethics declarations

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent was obtained from all individual participants included in the study.

Conflict of interest

The author declares no conflict of interest.

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Al-Khayyat, H., Toussaint, N., Holt, S. et al. Gram-negative sepsis following biopsy of a transplant recipient with asymptomatic allograft pyelonephritis. CEN Case Rep 6, 46–49 (2017). https://doi.org/10.1007/s13730-016-0241-2

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  • DOI: https://doi.org/10.1007/s13730-016-0241-2

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