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| Year : 1997 | Volume
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| Issue : 1 | Page : 44 |
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| Recurrent Urinary Tract Infection in a Renal Transplant Recipient |
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Faissal A.M Shaheen, Fouad Sheariya, Abdullah Fallatah
Jeddah Kidney Center, King Fahd Hospital, Jeddah, Saudi Arabia
Click here for correspondence address and email
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How to cite this article:
Shaheen FA, Sheariya F, Fallatah A. Recurrent Urinary Tract Infection in a Renal Transplant Recipient. Saudi J Kidney Dis Transpl 1997;8:44 |
How to cite this URL:
Shaheen FA, Sheariya F, Fallatah A. Recurrent Urinary Tract Infection in a Renal Transplant Recipient. Saudi J Kidney Dis Transpl [serial online] 1997 [cited 2013 Jun 20];8:44. Available from: http://www.sjkdt.org/text.asp?1997/8/1/44/39405 |
To the Editor:
It is with great interest that we read the paper by Al-Khudair, et al [1] , and wish to share our experience with a similar case.
Our patient is a 65-year old lady who underwent a living unrelated donor renal transplantation in India in 1994. She presented to us with fever and dysuria of five days duration. She gave a history of recurrent urinary tract infections after the transplantation, which responded to treatment with antibiotics. Prior x-rays and ultrasound were reportedly normal.
Physical examination revealed an elderly lady with no pallor, icterus or lymph node enlargement. Systemic examination was normal. The graft was normal and nontender. Laboratory evaluation revealed a hemoglobin of 128 gm/L and total white blood cell count of 4.9 x 10 9 /L with a normal differential count. The blood urea was 16.8 rnmol/L, serum creatinine 106 µmol/L with normal electrolytes and liver function tests. Serological tests including HIV, anti-HCV antibodies and CMV IgM were all negative. She was positive for HBsAg. Urine examination revealed + + proteinuria and 70 to 100 white blood cells per high power field. Urine culture grew Pseudomonas aeruginosa. Ultrasound examination revealed a normal graft and an ovarian cyst on the right side. A longitudinal, thin, hyperechogenic shadow was visible attached to the wall of the urinary bladder. Cystoscopic examination confirmed the presence of a foreign body, subsequently identified as a retained suture. After removal of the suture through a cystoscope, the patient remained well and did not have a subsequent episode of urinary infection for over nine months.
Our experience further confirms that of Al-Khudair, et al, that retained suture in the urinary bladder should be considered when evaluating a post-transplant patient for recurrent urinary tract infection.
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| 1. | Al-Khudair W, Abu-Romeh S, Mansi MK, Huraib S. An unusual cause of recurrent bacteriuria in a kidney transplant recipient. Saudi J Kidney Dis Transplant 1996:7(4):398-400.  |
Correspondence Address:
Faissal A.M Shaheen
Jeddah Kidney Center, King Fahd Hospital, Jeddah
Saudi Arabia
PMID: 18417785
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