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An overview on the representatives of the host plant specialist phyline genus Macrotylus Fieber, 1858 (Hemiptera: Heteroptera: Miridae: Phylinae) distributed in Hungary is presented, including key, diagnoses, along with taxonomic, biogeographic, and ecological notes to the discussed species. First occurrences of Macrotylus quadrilineatus (Schrank, 1825) in Hungary are reported.

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Acanalonia conica (Say, 1830), the first representative of the Nearctic planthopper family Acanaloniidae (Hemiptera: Auchenorrhyncha: Fulgoroidea), introduced to Europe, is reported for the first time from multiple locations in Hungary. Diagnosis, detailed illustration of male genitalia and notes on ecology are provided along with the distributional records.

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Interventional Medicine and Applied Science
Authors: Balázs Nemes, Zsolt Kanyári, Gergely Zádori, Lajos Zsom, Mariann Berhés, Mátyás Hamar, Krisztina Kóbor, and Antal Péter

Horseshoe kidney is a fusion anomaly found in approximately one in 400–600 people. Due to vascular and ureteral variations, transplantation with a horseshoe kidney presents a technical challenge. In our case, the isthmus connected the upper poles and contained parenchyma. It consisted of three renal arteries, five veins collected to the inferior vena cava, and two ureters and pyelons. It was implanted en bloc to the left side retroperitoneally. During the early period, cellular and humoral rejection was confirmed and treated. For a urine leak, double J catheters were implanted into both ureters. Later, the first catheter was removed. Subsequently, urinary sepsis developed, necessitating graftectomy. The uncommon anatomy of ureters and antibody-mediated rejection (AMR) may both be factors for a ureter tip necrosis led to an infected urinoma. After other Hungarian authors, we also report a horseshoe kidney transplantation that was technically successful. However, after an adequately treated but severe acute humoral rejection, the patient developed sepsis, and the kidney had to be removed. We conclude that transplantation with horseshoe kidney is technically feasible but may increase the risk for urinary complications and resultant infections. Careful consideration of risk and benefit is advised when a transplant professional is faced with this option.

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