Clinical Case Database / Category: Patient Management
Infections in renal transplantation
Prof Sunil Bhandari, Dr Adam D Jakes, Poonam Jani
Foundation Years Journal, volume 8, issue 4, p.26 (123Doc Education, London, April 2014)
A 48 year old gentleman with adult polycystic kidney disease received a deceased donor renal transplant. His maintenance immunosuppressive therapy was tacrolimus and mycophenolate mofetil. He presented 8 months post-transplantation with fever and profuse diarrhoea for the previous 5 days (no blood), abdominal pain and lethargy. Initial investigations demonstrated an acute increase in serum creatinine from his baseline, together with a low white cell count and platelets. Here we discuss common infections in renal transplantation patients.
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Prof Sunil Bhandari
Consultant Nephrologist, Honorary Clinical Professor,
Deputy Head of School of Medicine, Yorkshire Deanery,
Hull & East Yorkshire Hospitals NHS Trust,
Anlaby Road, Kingston Upon Hull, HU32JZ
Dr Adam D Jakes
Academic Foundation Doctor, St Jamesâ€™s Univeristy Hospital,
Beckett Street, Leeds, West Yorkshire, LS9 7TF
Medical Student, Hull-York Medical School, Hertford Building,
University of Hull, Hull, HU6 7RX
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