Başkent Üniversitesi Yayınları

Permanent URI for this communityhttps://hdl.handle.net/11727/13092

Browse

Filters

2006 - 20072

Settings

Author: search.filters.author.Durand, DominiqueSubject: search.filters.subject.Renal transplantation

Search Results

Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Perihepatitis and Perinephric Abscess Due to Mycoplasma hominis in a Kidney Transplant Patient
    (Başkent Üniversitesi, 2007-12) Camara, Boubou; Mouzin, Marc; Kamar, Nassim; Rostaing, Lionel; Durand, Dominique; Game, Xavier; Guitard, Joelle; Esposito, Laure; Ribes, David
    Mycoplasma hominis has been incriminated in several genital and extragenital infections. Here, we report the first case of perihepatitis associated with a perinephric abscess in a woman who had received a kidney transplant. Four months after the transplant, the patient was admitted for perirenal allograft pain, fever, and elevated inflammatory parameters and liver enzyme levels. A renal ultrason­ography found a collection of fluid. Results of blood and urine analyses were within normal limits. Fluid aspiration of the peritoneal cavity was performed, and the results of cultures for bacteria and fungi were negative. The patient was treated by surgical lavage of the peritoneal cavity. Her fever resolved 5 days later. Two months after surgical lavage of the peritoneal cavity, her liver enzyme levels returned to the normal range. Three months after surgical lavage, cultures of the perinephric fluid showed Mycoplasma hominis. We conclude that in patients who present with perinephric fluid suspected of being infected, bacteriologic analysis of the fluid (from surgical lavage of the peritoneal cavity) should be performed. Antibiotics active against intracellular bacteria should be administered.
  • No Thumbnail Available
    Item
    Vertigo After Renal Transplantation: A Sign of Paucisymptomatic Cryptococcal Meningitis
    (Başkent Üniversitesi, 2006-12) Mehrenberger, Marion; Kamar, Nassim; Borde, Jean-Sébastien; Estève-Fraysse, Marie-Josée; Viguier, Alain; Recco, Paulette; Durand, Dominique; Rostaing, Lionel
    We report what is to our knowledge the first case of severe isolated vertigo that developed after renal transplantation and was a manifestation of cryptococcal meningitis. Treatment with antifungal therapy resulted in the complete resolution of vertiginous symptoms. Immunosuppressed patients with an opportunistic infection of the central nervous system can present with extremely tenuous features of infection and atypical neurologic signs.