Recurrent Urinary Tract Infections with Multidrug Resistance Bacteria in a 50-Year-Old Man Living Donor Kidney Transplant Recipient with Adult Polycystic Kidney Disease: The Issues for Native Nephrectomy

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Published: Jan 15, 2025
DOI: https://doi.org/10.47191/ijmscrs/v5-i01-15
Keywords:
polycystic kidney disease, native nephrectomy, multidrug resistance, recurrent urinary tract infections

Main Article Content

Khin Phyu Pyar
Professor and Head/ Senior Consultant Physician and Nephrologist, Department of Medicine/Nephrology, Defence Services Medical Academy/ No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Htun Htun Oo
Nephrology Fellow, Department of Nephrology, Defense Services Medical Academy, Yangon, Myanmar.
Zaw Min Htike
Microbiologist, Department of Microbiology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Win Kyaw Shwe
Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Ye Htook Maung
Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Aung Zaw Htet
Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Aung Kyaw Tun
Consultant Uro-surgeon, Department of Urology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Aung Thaw Hein
Consultant Uro-surgeon, Department of Urology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Khine Khine Su
Professor and Head/ Senior Consultant Microbiologist, Department of Microbiology, Defence Services Medical Academy, Yangon, Myanmar.
Aung Htet
Consultant Radiologist, Department of Radiology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Myat Ko Ko
Nephrology Fellow, Department of Nephrology, Defense Services Medical Academy, Yangon, Myanmar.
Aung Nyan Lynn
Nephrology Fellow, Department of Nephrology, Defense Services Medical Academy, Yangon, Myanmar.
Moe Htun Zaw
Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Kyaw Thu Yein Lwin
Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Lay Maung Maung
Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Ye Min Hein
Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Lynn Htet Aung
Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Sai Aik Hla
Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Min Aung Hein
Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Chan Pyae Aung
Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Myo Min Thant
Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar.
Myat Kyaw
Nephrology Fellow, Department of Nephrology, Defense Services Medical Academy, Yangon, Myanmar.
Nyein Chan Ko
Nephrology Fellow, Department of Nephrology, Defense Services Medical Academy, Yangon, Myanmar.
Tun Linn Kyaw
Nephrology Fellow, Department of Nephrology, Defense Services Medical Academy, Yangon, Myanmar.
Aung Htoo Kyaw
General Medicine Fellow, Department of General Medicine, Defense Services Medical Academy, Yangon, Myanmar.

Abstract

A 50-year-old man with polycystic kidney disease had living donor kidney transplant. Simultaneous right sided native nephrectomy was done to give a space for graft kidney. He developed three episodes of urinary tract infections within 2 months after transplant; one episode was associated with septic shock and rise serum creatinine. Two urine culture results taken two weeks apart revealed Klbsiella pneumoniae. It was sensitive to amikacin and resistant to nearly all antibiotics including quinolone, imepenum, colistin, cefepime and tigecycline. The remaining left native kidney was removed as the cysts were nidus to hide bacteria; no more recurrence after second nephrectomy.

Article Details

How to Cite
Khin Phyu Pyar, Htun Htun Oo, Zaw Min Htike, Win Kyaw Shwe, Ye Htook Maung, Aung Zaw Htet, Aung Kyaw Tun, Aung Thaw Hein, Khine Khine Su, Aung Htet, Myat Ko Ko, Aung Nyan Lynn, Moe Htun Zaw, Kyaw Thu Yein Lwin, Lay Maung Maung, Ye Min Hein, Lynn Htet Aung, Sai Aik Hla, Min Aung Hein, Chan Pyae Aung, Myo Min Thant, Myat Kyaw, Nyein Chan Ko, Tun Linn Kyaw, & Aung Htoo Kyaw. (2025). Recurrent Urinary Tract Infections with Multidrug Resistance Bacteria in a 50-Year-Old Man Living Donor Kidney Transplant Recipient with Adult Polycystic Kidney Disease: The Issues for Native Nephrectomy. International Journal of Medical Science and Clinical Research Studies, 5(1), 80–89. https://doi.org/10.47191/ijmscrs/v5-i01-15
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Vol. 5 No. 1 (2025): Volume 05 Issue 01 January 2025
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Articles
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This work is licensed under a Creative Commons Attribution 4.0 International License.

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