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transplant nephrology

Live Kidney Donation: What’s the risk?

As ESRD prevalence continues to increase, the kidney transplant list continues to grow meaning longer waiting times for deceased donor transplantation. Living donation (LD) provides the best outcomes for patients with ESRD and is considered safe for the…

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Hepatitis B and kidney transplantation

Prior HBV infection is not a contraindication to kidney transplantation.  It is critical to evaluate patients with serologies and HBV DNA viral load prior to transplant. Most patients should also undergo liver transplant biopsy to exclude significant fibrosis/cirrhosis. Patients with…

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Does JC Virus Nephropathy Exist?

The JC virus is a member of the Polyomavirus family, which includes the BK virus.  It infects about 80% of healthy adults and establishes latency in renal tissue. It was first isolated in 1971 from the brain of…

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Management of CMV after transplantation

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…

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