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
Authors:   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., Pyar Khin Phyu , Oo Htun Htun ,   Nephrology Fellow, Department of Nephrology, Defense Services Medical Academy, Yangon, Myanmar., Htike Zaw Min ,   Microbiologist, Department of Microbiology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Shwe Win Kyaw ,   Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Maung Ye Htook ,   Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Htet Aung Zaw ,   Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Tun Aung Kyaw ,   Consultant Uro-surgeon, Department of Urology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Hein Aung Thaw ,   Consultant Uro-surgeon, Department of Urology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Su Khine Khine ,   Professor and Head/ Senior Consultant Microbiologist, Department of Microbiology, Defence Services Medical Academy, Yangon, Myanmar., Htet Aung ,   Consultant Radiologist, Department of Radiology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Ko Myat Ko ,   Nephrology Fellow, Department of Nephrology, Defense Services Medical Academy, Yangon, Myanmar., Lynn Aung Nyan ,   Nephrology Fellow, Department of Nephrology, Defense Services Medical Academy, Yangon, Myanmar., Zaw Moe Htun ,   Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Lwin Kyaw Thu Yein ,   Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Maung Lay Maung ,   Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Hein Ye Min ,   Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Aung Lynn Htet ,   Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Hla Sai Aik ,   Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Hein Min Aung ,   Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Aung Chan Pyae ,   Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Thant Myo Min ,   Consultant Nephrologist, Department of Nephrology, No. (1) Defence Services General Hospital (1000-Bedded), Yangon, Myanmar., Kyaw Myat ,   Nephrology Fellow, Department of Nephrology, Defense Services Medical Academy, Yangon, Myanmar., Ko Nyein Chan ,   Nephrology Fellow, Department of Nephrology, Defense Services Medical Academy, Yangon, Myanmar., Kyaw Tun Linn ,   Nephrology Fellow, Department of Nephrology, Defense Services Medical Academy, Yangon, Myanmar., Kyaw Aung Htoo ,   General Medicine Fellow, Department of General Medicine, Defense Services Medical Academy, Yangon, Myanmar.
Published: February 2025

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.