Pyogenic Arthritis in Renal Transplant Recipients.
- Author:
Jung Man KIM
;
Chang Whan HAN
;
Jeong Tae SEO
;
Byung Kee BANG
;
Yong Bok KOH
- Publication Type:Original Article
- Keywords:
Pyogenic arthritis;
Renal transplantation
- MeSH:
Acinetobacter;
Anti-Bacterial Agents;
Arthritis*;
Bed Rest;
Drainage;
Elbow;
Fingers;
Graft Rejection;
Hip;
Humans;
Joints;
Kidney;
Kidney Transplantation;
Knee;
Male;
Mortality;
Risk Factors;
Salmonella;
Staphylococcus aureus;
Transplantation*
- From:The Journal of the Korean Orthopaedic Association
1997;32(3):689-696
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute pyogenic arthritis in renal transplant patient is one of the serious problem resulting in significant morbidity and mortality. The purpose of this paper is to analyze seven patients in whom acute pyogenic arthritis developed following renal transplantation. Pyogenic arthritis developed in seven (0.7%) out of 958 renal transplant patients whose transplanted kidney functioned well for more than two years. The age of the patients ranged from 37 to 65 years with a mean of 48 years. All patients were male. Pyogenic arthritis developed between the period of one and 12 years (mean: 4.5+/-4.2 years) following transplantation. Causative organisms were Staphylococcus aureus (three), E. coli (two), Salmonella (one) and Acinetobacter bananii (one). Involved joints were four knees, one hip, one elbow and one finger. Two patients improved on a conservative regimen of bed rest and antibiotics and five patients required open drainage. However, pyogenic arthritis recurred in three years, four years and seven years after renal transplant in one patient. Looking at the probable risk factors of age, sex, immunosuppresants, diabetics and acute graft rejection, diabetics and older age (over 40 years old) are highly associated with post renal transplant pyogenic arthritis.
