{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T10:49:39Z","timestamp":1774262979948,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,10,1]],"date-time":"2012-10-01T00:00:00Z","timestamp":1349049600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Emphysematous pyelonephritis (<jats:styled-content style=\"fixed-case\">EPN<\/jats:styled-content>) is a rare occurrence in renal allografts. An aggressive approach resulting in transplant nephrectomy is viewed as the standard of care. Over the recent years, treatment with percutaneous drainage (<jats:styled-content style=\"fixed-case\">PCD<\/jats:styled-content>) of the renal and perinephric collections and appropriate antibiotics has been reported with good success in lesser grades of this infection. Only 4 cases of extensive <jats:styled-content style=\"fixed-case\">EPN<\/jats:styled-content> disease with <jats:italic><jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>scherichia coli<\/jats:italic>, treated with conservative management, are reported in the English\u2010language literature. We present a case of severe <jats:styled-content style=\"fixed-case\">EPN<\/jats:styled-content> caused by <jats:italic><jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>lebsiella pneumoniae<\/jats:italic>, successfully managed with early <jats:styled-content style=\"fixed-case\">PCD<\/jats:styled-content>, and propose a step\u2010up strategy aimed toward graft preservation.<\/jats:p>","DOI":"10.1111\/tid.12016","type":"journal-article","created":{"date-parts":[[2012,10,2]],"date-time":"2012-10-02T02:07:16Z","timestamp":1349143636000},"source":"Crossref","is-referenced-by-count":15,"title":["Extensive emphysematous pyelonephritis in a renal allograft treated conservatively: case report and review of the literature"],"prefix":"10.1111","volume":"14","author":[{"given":"S.","family":"Alexander","sequence":"first","affiliation":[{"name":"Department of Nephrology Christian Medical College Vellore 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