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Nephrol Dial Transplant (2000) 15: 943-945
© 2000 European Renal Association-European Dialysis and Transplant Association

Editorial Comments

Encrusted pyelitis: an underdiagnosed condition?

Paul Meria1, and Paul Jungers2

1 Department of Urology, St-Joseph Hospital, Paris and 2 Department of Nephrology, Necker Hospital, Paris, France

Introduction

The first description of encrusted pyelitis (EP) was reported by Morales et al. in 1992 [1]. EP is an infectious disease defined as the presence of encrustations in the wall of the pelvicaliceal system, sometimes extending to the ureter, associated with inflammation of the surrounding tissues [2,3]. EP may be associated with encrusted cystitis, in which the pathophysiology is identical. The development of EP requires predisposing factors including the presence of urea splitting bacteria responsible for alkaline urine, a preceding urological procedure or a pre-existing mucosal lesion. The presence of a stent in the collecting system increases the risk of EP. Associated immunosuppression is an important cofactor, present in most of the patients [2–5]. Early urological complications after renal transplantation that require a secondary procedure were shown to be a predisposing factor to the development of EP within the . . . [Full Text of this Article]

Pathophysiology: the role of Corynebacterium group D2

Diagnosis: value of imaging and laboratory techniques

Conservative rather than surgical management

Prognosis and outcome: risks in kidney transplant recipients

Notes

References


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