EMPHYSEMATOUS PYELONEPHRITIS IN A NONFUNCTIONING RENAL-ALLOGRAFT OF APATIENT UNDERGOING HEMODIALYSIS

A hemodialysis patient with insulin-dependent diabetes mellitus and a nonfunctioning renal allograft in whom fever, low blood pressure, and confusion developed is reported. She underwent extensive evaluation an d allograft nephrectomy for emphysematous pyelonephritis that was diag nosed by the presence of air in the collecting system of the transplan ted kidney during computerized tomography of the abdomen. In nine pati ents with emphysematous pyelonephritis in renal allografts reported pr eviously, this is the first instance of emphysematous pyelonephritis i n a renal allograft with coagulase-negative staphylococcus.