Winter season arriving and you might see a couple of transplant patients with colds… Immunosuppressants have the potential to interact with OTC meds used to treat common colds and coughs, which can lead to alterations in the degree…
Hepatitis C virus (HCV) infection affects more than 180 million people globally, may lead to renal disease and is prevalent in 11-49% of patients with end-stage renal disease, depending on geographical location. With that picture in mind, we…
Although the term Post-transplant Lymphoproliferative Disease (PTLD) encompasses all lymphoproliferative disorders post transplant, it generally refers to extra-nodal B-cell lymphomas due to Ebstein-Barr virus (EBV) infection. PTLD is a B-cell disease caused by iatrogenic T-cell dysfunction: in people…
One of my transplant patients came to clinic last week excited about his trip to Tanzania. He had undergone kidney transplantation three years ago and has had an uneventful course. As a transplant nephrologist, you kind of become…
I recently consulted on a patient with AKI who had undergone a bone marrow transplant a couple of months previously. While reviewing his labs, I noticed that he had ongoing BK viremia and I wondered whether or not…
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…
BK Nephropathy refers to damage suffered to a renal allograft as a result of the polyomavirus BK virus. It is named based on the fact that it was originally isolated in the urine of a kidney transplant…
Heard a case in Renal Grand Rounds this morning regarding an elderly (72 year-old) 1st-time cadavaric renal transplant recipient who presented during his 3rd month post-transplant with fever, an elevated creatinine, and a CT scan showing mediastinal lymphadenopathy….
A quick & dirty guide for what kidney transplant patients should be on for prophylaxis: 1. PCP Prophylaxis: should be given to all patients for as long as they are on steroids. The standard is Bactrim SS given…
The treatment of hepatitis C-induced cryoglobulinemia can be broken down into two different arms, both of which are usually necessary: 1. Antiviral Therapy, to get at the root-cause of the problem. 2. Immunosuppression Therapy, to prevent the acute…
