Pneumaturia following cadaveric renal transplantation

✍ Scribed by L. D. Gruer; R. M. Weaver; I. G. Haynes; A. D. Barnes

• Publisher: John Wiley and Sons
• Year: 1984
• Tongue: English
• Weight: 291 KB
• Volume: 71
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800710231

✦ Synopsis

Although pneumaturia is most often associated with an entero-urinary fistula, it can also result from infection of the urinary tract by gas producing organisms. We report an example of this occurring after renal transplantation.

Case report

A 58-year-old man received a cadaveric renal transplant in September 1978 following chronic renal failure secondary to chronic pyelonephritis. The kidney functioned well and a stable creatinine of around 200p mol/l was maintained on standard immunosuppressive doses of prednisolone and azathroprine. During the second postoperative month, however, he developed a Klebsiella aerogenes urinary tract infection which did not respond to appropriate antibiotics. He was also found to have proteinuria of 5-8.7 g/24 h but no