Clinical characteristics of acute lobar nephronia in renal allograft

With the exception of four patients who had unidentified pathogens, we found that 10/13 (13 species) of the pathogenic microorganisms detected in the patients were gram-negative bacteria, such as Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis, and 3/13 (13 species) were gram-positive bacteria, including Enterococcus faecalis and Staphylococcus aureus. Laboratory findings include a significant increase in blood infection indices (eg, leukocyte count, neutrophil band cell count, and CRP level) and a decrease in renal allograft function. A positive culture for pathogenic microorganisms in blood and urine may be observed, with E. coli, Klebsiella, Proteus, and Streptococcus being the most common pathogens. In our patients, laboratory tests showed that blood infection indices decreased and urine WBC counts became negative, resulting in the recovery of renal function.