Year: 2025
Type: article
Study design: Case Report
Abstract: A 36-year-old man with spina bifida aperta at the tenth vertebra level presented to the emergency department with fever and abdominal pain. The patient had undergone a kidney transplant 20 years earlier due to right renal agenesis and has an ileal conduit with urostomy, leaving the bladder in place with neurogenic voiding dysfunction. Despite years of recurrent complicated urosepsis, graft function remained excellent, with a creatinine level of 88.4 μmol/l (1.0 mg/dl). At presentation, he met criteria for acute graft pyelonephritis with fever, acute kidney injury, elevated inflammatory markers, leukocyturia, and bacteriuria.
Source: Kidney International
Authors: Jonas Lange, Fabian Queißert, Hermann Pavenstädt, Rakan Al-Itaibi, Stefan Reuter
Institutions: University of Münster, University Hospital Münster
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,500
OpenAlex ID: W4413352782