A 50 year-old presented with a 3 day history of malaise and fatigue 2 months after receiving a deceased donor kidney transplant with T-cell depleting induction therapy. Discharge medications after transplantation included tacrolimus, mycophenolate mofetil, prednisone, and valganciclovir…
CMV infection still remains one of the most common and unpredictable complications in transplant recipients, and the negative consequences in terms of graft lost and recipient survival are well known. In this setting, I would like to present…
Pre-transplant: All the donors and recipients of kidney transplants (both living and deceased) should be tested for status of CMV by CMV IgG in the blood. If there is history of recent transfusion, pre-transfusion status should be regarded…
I asked this question during my clinical renal fellowship at Brigham, where I had the chance to take care of a 39 yo female with a history of ESRD secondary to MPGN s/p DCD kidney transplant 8 months…
Why do some dialysis patients require so much more Epogen than others? Some patients manage to hit their targets with relatively low doses, and may even require “holding” EPO injections to avoid the upper hemoglobin range where excess…
