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J Urol. 1997 Apr;157(4):1400-3.

Pyelonephritis and vesicoureteral reflux after renal transplantation in young children.

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  • 1University Children's Hospital, Zürich, Switzerland.

Abstract

PURPOSE:

We assessed morbidity and risk factors of pyelonephritis in children after renal transplantation.

MATERIALS AND METHODS:

Between 1986 and 1995, 41 children underwent transplantation and all who had documented pyelonephritis were evaluated.

RESULTS:

Six children who underwent transplantation before age 7 years had 1 to 3 episodes of pyelonephritis with significant renal dysfunction and vesicoureteral reflux into the grafted system. An antireflux reimplantation procedure in 5 children was complicated by temporary functional obstruction in 3. No further infection occurred after correction of vesicoureteral reflux. After a median of 4.5 years post-transplantation all patients have a functioning graft.

CONCLUSIONS:

After renal transplantation vesicoureteral reflux and young recipient age are major risk factors for pyelonephritis with subsequent graft dysfunction.

PMID:
9120963
[PubMed - indexed for MEDLINE]
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