A CLINICAL CASE OF RECURRENT RENAL TRANSPLANT PYELONEPHRITIS IN AN IMMUNOSUPPRESSED PATIENT

The article presents a clinical case of stage treatment of a 60-year-old patient with acute serous pyelonephritis of a kidney transplant detected 1 year and 5 months after the operation. The first stage in the pa tient’s management tactics, after the clinical diagnosis was established, was empirical antibiotic therapy using broad-spectrum drugs. De-escalation of antibiotic therapy was performed based on the data of microbiologi cal studies until complete elimination of the pathogen from the urine. Drug therapy also included hematopoiesis stimulators and proton pump inhibitors, which was determined by the presence of concomitant pathologies in the blood system and gastrointestinal tract of the patient.