We report on a case of a pediatric recipient with a well-managed HIV associated nephropathy (HIVAN) on highly active anti-retroviral therapy who underwent a successful deceased donor kidney transplantation, and was unexpectedly found to have a donated staghorn stone. Safe and effective management of the donated stone with combined Percutaneous Nephrolithotomy and ExtraCorporeal Shock Wave Lithotripsy to salvage the solitary allograft is discussed. To our knowledge this case is the first reported pediatric kidney transplant for HIVAN with a donated staghorn kidney stone in the English literature
McEnery PT, Stablein DM, Arbus G, Tejani A. Renal transplantation in children. A report of the North American Pediatric Renal Transplant Cooperative Study. N Engl J Med. 1992;326(26):1727-32.
Knoll G, Cockfield S, Blydt-Hansen T, et al. Kidney Transplant Working Group of the Canadian Society of Transplantation.. Canadian Society of Transplantation: consensus guidelines on eligibility for kidney transplantation. CMAJ. 2005;173(10):S1-25.
Van Arendonk KJ, Boyarsky BJ, Orandi BJ, et al. National trends over 25 years in pediatric kidney transplant outcomes. Pediatrics. 2014;133(4):594-601.
Dharnidharka VR, Fiorina P, Harmon WE. Kidney transplantation in children. N Engl J Med. 2014;371(6)/549-58.
Spital A. Should all human immunodeficiency virus-infected patients with end- stage renal disease be excluded from transplantation? The views of U.S. transplant centers. Transplantation. 1998;65(9):1187-91.
Muller E, Kahn D, Mendelson M. Renal transplantation between HIV-positive donors and recipients. N Engl J Med. N Engl J Med. N Engl J Med. 2010;362(24):2336-7.
Ahuja TS, Zingman B, Glicklich D. Longterm survival in an HIV-infected renal transplant recipient. Am J Nephrol. 1997;17(5):480-2.
Purgus R, Tamalet C, Poignard P, et al. Long-term nonprogressive human immunodeficiency virus-1 infection in a kidney allograft recipient. Transplantation. 1998; 66(10):1384-6.
Stock PG, Roland ME, Carlson L, et al. Kidney and liver transplantation in human immunodeficiency virus-infected patients: a pilot safety and efficacy study. Transplantation. 2003;76(2):370-5.
Roland ME, Stock PG. Review of solidorgan transplantation in HIV-infected patients. Transplantation. 2003;75(4):425-9.
Gow PJ, Pillay D, Mutimer D. Solid organ transplantation in patients with HIV infection. Transplantation. 2001;72(2):177- 81.
McCulloch MI, Kala UK. Renal transplantation in human immunodeficiency virus (HIV)-positive children. Pediatric Nephrology. 2015;30(4):541-8.
Shroff RC, McCulloch M, Novelli V, et al. Successful outcome of renal transplantation in a child with HIV-associated nephropathy. Arch Dis Child. 2014;99(11):1026-8.
El‐Mekresh M, Osman Y, Ali‐El‐Dein B, El‐Diasty T, Ghoneim MA. Urological complications after living‐donor renal transplantation. BJU international. 2001;87(4)/295-306
Lafranca JA, Durmaz SF, Ivanovski O, et al. Donors with stone-bearing kidneys are eligible for living kidney donation: A systematic review and cohort analysis. Shifting paradigms in live kidney donation and transplantation. 2015 Nov 1:169.
Shandera KC, Rozanski TA, Jaffers G. The necessity of voiding cystourethrogram in the pre transplant urologic evaluation. Urology. 1996;47(2):198-200.
Glazier DB, Whang MI, Geffner SR, et al Evaluation of voiding cystourethrography prior to renal transplantation. Transplantation. 1996;62(12):1762-5.
Rhee BK, Bretan PN JR, Stoller ML. Urolithiasis in renal and combined pancreas/renal transplant recipient. J Urol. 1999;161(5):1458-62.
Hayes JM, Streem SB, Graneto D, Hodge EE, Steinmuller DR, Novick AC. Renal transplant calculi. A reevaluation of risks and management. Transplantation. 1989;47(6):949-52.
Harper JM, Samuell CT, Hallson PC, Wood SM, Mansell MA. Risk factors for calculus formation in patients with renal transplants. Br J Urol. 1994;74(2):147-50.
Lu HF, Shekarriz B, Stoller ML. Donorgifted allograft urolithiasis/ early percutaneous management. Urology. 2002;59(1)/25-7.
Trivedi A, Patel S, Devra A, Rizvi J, Goel R, Modi P. Management of calculi in a donor kidney. Transplant Proc. 2007;39(3):761-2.