Renal allograft abscesses following transplant: Case report and literature review

Mohammadali Mohajel Shoja, Mohamad R. Ardalan, Jalal Etemadi, R. Shane Tubbs, Mojtaba Varshochi

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Intrarenal and perinephric abscess formations are infrequent infectious complications in kidney allograft recipients. A 37-year-old man who was a victim of mustard gas chemical weapons from the Iran-Iraq war received a live-donor kidney transplant for end-stage renal disease. The posttransplant course was complicated by clinical rejection, which subsided after a 2-week infusion of antithymocyte globulin. One month subsequent to this, the patient presented with renal allograft dysfunction and multiple intrarenal abscesses. Culture from the purulent aspirate of a percutaneously drained renal abscess revealed multidrug-resistant Pseudomonas aeruginosa. A concomitant acute cytomegalovirus infection was detected based on positive serologic tests. Treatment with intravenous meropenem (3 g/day for 3 weeks) and oral ciprofloxacin was begun, which resulted in the complete resolution of the intrarenal abscesses. To our knowledge, this report represents the first description of pseudomonal renal abscesses in a renal transplant recipient. A review of the relevant literature is presented.

Original languageEnglish (US)
Pages (from-to)720-723
Number of pages4
JournalExperimental and Clinical Transplantation
Volume5
Issue number2
StatePublished - Dec 1 2007
Externally publishedYes

Fingerprint

Abscess
Allografts
Transplants
Kidney
meropenem
Mustard Gas
Iraq
Weapons
Antilymphocyte Serum
Cytomegalovirus Infections
Serologic Tests
Ciprofloxacin
Iran
Pseudomonas aeruginosa
Chronic Kidney Failure
Tissue Donors

Keywords

  • Cytomegalovirus
  • Kidney
  • Mustard gas
  • Pseudomonas aeruginosa
  • Transplantation

ASJC Scopus subject areas

  • Transplantation

Cite this

Mohajel Shoja, M., Ardalan, M. R., Etemadi, J., Tubbs, R. S., & Varshochi, M. (2007). Renal allograft abscesses following transplant: Case report and literature review. Experimental and Clinical Transplantation, 5(2), 720-723.

Renal allograft abscesses following transplant : Case report and literature review. / Mohajel Shoja, Mohammadali; Ardalan, Mohamad R.; Etemadi, Jalal; Tubbs, R. Shane; Varshochi, Mojtaba.

In: Experimental and Clinical Transplantation, Vol. 5, No. 2, 01.12.2007, p. 720-723.

Research output: Contribution to journalArticle

Mohajel Shoja, M, Ardalan, MR, Etemadi, J, Tubbs, RS & Varshochi, M 2007, 'Renal allograft abscesses following transplant: Case report and literature review', Experimental and Clinical Transplantation, vol. 5, no. 2, pp. 720-723.
Mohajel Shoja M, Ardalan MR, Etemadi J, Tubbs RS, Varshochi M. Renal allograft abscesses following transplant: Case report and literature review. Experimental and Clinical Transplantation. 2007 Dec 1;5(2):720-723.
Mohajel Shoja, Mohammadali ; Ardalan, Mohamad R. ; Etemadi, Jalal ; Tubbs, R. Shane ; Varshochi, Mojtaba. / Renal allograft abscesses following transplant : Case report and literature review. In: Experimental and Clinical Transplantation. 2007 ; Vol. 5, No. 2. pp. 720-723.
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