A rare case of renal vein thrombosis secondary to Klebsiella pneumoniae pyelonephritis

Urol Ann. 2018 Jan-Mar;10(1):103-105. doi: 10.4103/UA.UA_123_17.


Renal vein thrombosis (RVT) is most often an implication of nephrotic syndrome. Pyelonephritis has been associated at a much lower rate, with the incidence of Klebsiella pneumoniae causation being extremely rare. In our case, a 35-year-old female patient presented with right-sided K. pneumoniae-positive acute pyelonephritis complicated by perinephric abscess and renal vein thrombosis. She was successfully treated with anticoagulation and extended antibiotic therapy. The possibility of RVT in patients with K. pneumoniae-induced pyelonephritis warrants consideration.

Keywords: Hypercoagulability; Klebsiella pneumoniae; nephrotic syndrome; pyelonephritis; renal vein thrombosis.

Publication types

  • Case Reports