Emphysematous prostatitis in renal transplant

• Main Authors: Krishnaswamy Sampathkumar, Tanjore R Murali, Yesudas S Sooraj, Amol R Mahaldar
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2007-01-01
• Series: Indian Journal of Urology
• Subjects: Diabetes; emphysematous prostatitis; multiorgan failure; renal transplant; septic shock; septicemia; urinary tract infection
• Online Access: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=4;spage=476;epage=478;aulast=Sampathkumar

Urinary tract infections are common following renal transplant. The spectrum varies from asymptomatic bacteriuria to septicemia. Gas-producing infections of the urinary tract are rare but tend to have a grave prognosis when they do occur. We report a 57-year-old gentleman who underwent a renal transplant 20 months earlier. He presented to us with fever and dysuria. Clinical examination revealed a febrile and ill-looking patient with severe graft tenderness. An emergency pelvic CT scan revealed presence of emphysematous prostatitis, cystitis and pyelitis. Urine and blood cultures grew E. coli . Endoscopic abscess drainage was done and antibiotics given but he succumbed to his illness due to multiorgan failure within 48h. This is the first reported case of emphysematous prostatitis in a renal allograft recipient.