J Clin Nephrol Kidney Dis | Volume 3, Issue 1 | Research Article | Open Access

Successful Conservative Treatment of Extensive Emphysematous Pyelonephritis Due to Extended-Spectrum Β-Lactamase-Producing Klebsiella Pneumoniae in a Renal Allograft Patient

Florence Runyo¹, Philippe Lesprit², Rokia Khadouri¹, Albane Brodin-Sartorius¹, Leila Tricot¹, Niloufar Kossari¹, Gautier Roland³, Gaëlle Pellé^1*

¹Department of Nephrology, Foch Hospital, France
²Department of Infectiology, Foch Hospital, France
³Department of Radiology, Foch Hospital, France

^*Correspondance to: Gaëlle Pellé 

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Abstract

Emphysematous pyelonephritis is a rare, life-threatening complication that can occur in poorly controlled diabetic patients after renal transplantation, and may require nephrectomy. We report a case of extensive emphysematous pyelonephritis due to Extended-Spectrum β-Lactamase (ESBL)-producing Klebsiella pneumoniae in a renal allograft patient, successfully managed by antibiotics and percutaneous drainage. Early detection of emphysematous pyelonephritis in renal transplant patients with diabetes presenting acute pyelonephritis is crucial. Antibiotics against ESBL enterobacteriaceae could be interesting in first line in these pyelonephritis

Keywords:

Emphysematous pyelonephritis; Extended-spectrum β-lactamase-producing klebsiella pneumoniae; Renal allograf

Citation:

Runyo F, Lesprit P, Khadouri R, BrodinSartorius A, Tricot L, Kossari N, et al. Successful Conservative Treatment of Extensive Emphysematous Pyelonephritis Due to ExtendedSpectrum Β-Lactamase-Producing Klebsiella Pneumoniae in a Renal Allograft Patient. J Clin Nephrol Kidney Dis. 2018; 3(1): 1012.