Multidrug-resistant coinfection and emphysematous pyelonephritis in a deceased donor allograft – Treatment dilemma

Emphysematous pyelonephritis (EPN) is a severe, potentially fatal suppurative infection of the renal parenchyma and perirenal tissues. It is indicated by the production of gas within the kidney and perinephric tissues. Risk factors that contribute to the development include diabetes and female sex. Herein, we report EPN in a 59-year-old male who underwent renal transplant from a deceased donor earlier this year.