Early posttransplant granulomatous interstitial nephritis

Interstitial nephritis in graft kidney is a rare condition, and a small fraction of these contain granulomas. Most common etiology is drugs, followed by infections. Biopsy and evaluation of underlying cause are key factors determining treatment options and salvaging the graft. We present one such rare case of early posttransplant graft dysfunction due to granulomatous nephritis