Donated staghorn kidney stone in an HIV positive pediatric kidney transplant recipient

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.