Open AccessA rare case of renal vein thrombosis secondary to Klebsiella pneumoniae pyelonephritis
Author(s) -
Kelly Lurz,
Dany Hanna,
Brian McGreen,
Francis Schanne
Publication year - 2018
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/ua.ua_123_17
Subject(s) - medicine , klebsiella pneumoniae , renal vein thrombosis , nephrotic syndrome , thrombosis , incidence (geometry) , surgery , antibiotics , gastroenterology , microbiology and biotechnology , escherichia coli , biochemistry , chemistry , physics , biology , optics , gene
Renal vein thrombosis (RVT) is most often an implication of nephrotic syndrome. Pyelonephritis has been associated at a much lower rate, with the incidence of Klebsiella pneumoniae causation being extremely rare. In our case, a 35-year-old female patient presented with right-sided K. pneumoniae -positive acute pyelonephritis complicated by perinephric abscess and renal vein thrombosis. She was successfully treated with anticoagulation and extended antibiotic therapy. The possibility of RVT in patients with K. pneumoniae -induced pyelonephritis warrants consideration.