scholarly journals An analysis of the United States renal transplant patient population and organ survival characteristics: 1977 to 1980

1982 ◽  
Vol 22 (6) ◽  
pp. 685-692 ◽  
Author(s):  
Steven J. Rosansky ◽  
Tai Sugimoto
Keyword(s):  
United States ◽  
Renal Transplant ◽  
Patient Population ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
The United States

scholarly journals 260. The Unfortunate Consequence of Immunosuppression in a Renal Transplant Patient

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S236-S237
Author(s):  
Franklin Mikell ◽  
Rabindra Ghimire
Keyword(s):  
United States ◽  
Renal Transplant ◽  
Brain Abscess ◽  
Geographic Distribution ◽  
Antimicrobial Susceptibility ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
The United States ◽  
Chest Ct ◽  
Disseminated Infection

Abstract Background Nocardia is a slow-growing aerobic-actinomycete that belongs to the family Nocardiaceae. Major predisposing factors include corticosteroid use, organ transplantation, low CD4 count, and hematologic malignancies. The most commonly affected organs are lungs, mainly via inhalation; however, the most common extrapulmonary site is central nervous system. Methods Matrix Assisted Laser Desorption Ionization - Time of Flight (MALDI-ToF) or 16srRNA sequencing are more reliable methodologies for accurate identification of Nocardia to the species level. To our knowledge, our patient represented the first U.S. case of N. bejingensis opportunistic disseminated infection in a renal transplant patient although similar cases have been previously reported outside the U.S. GMS stain Gram Stain of Nocardia Results We present a 31-year-old Caucasian male status post renal transplant four years ago on immunosuppressants with left arm myoclonic jerks. In addition, there was an associated unilateral left frontal headache of four to five day duration. His chest CT revealed consolidative process in the right lower lobe and pleural effusion. MRI of the brain revealed multiple ring-enhancing lesions. Patient underwent left frontal craniotomy with resection and a complete evacuation of brain abscess. His brain abscess and pleural fluid cultures revealed Gram positive rods, which were subsequently identified as Nocardia beijingensis by MALDI-TOF and confirmed by 16srRNA sequencing. He was treated with intravenous imipenem & trimethoprim – sulfamethoxazole with subsequent clinical improvement. MRI Brain w/ contrast Head CT s/p left frontal craniotomy with resection & evacuation of abscess Chest CT Conclusion Different Nocardia species have a wide geographic distribution with varying pathogenic traits, and antimicrobial susceptibility. Hence, the identification of the specific species of Nocardia is crucial to provide a proficient level of patient care. Nocardia bejingensis is a newly discovered species of Nocardia that was first isolated in 2001 in China. Only six cases of N. beijingensis affecting CNS have been reported up to date in the United States. It is unclear of the geographic distribution and variable antimicrobial susceptibility of Nocardia bejingensis but we can confirm the first reported case of an opportunistic disseminated infection in a renal transplant patient in the United States. Agar Disclosures All Authors: No reported disclosures

scholarly journals Strongyloides Hyperinfection in a Renal Transplant Patient: Always Be on the Lookout

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Murtaza Mazhar ◽  
Ijlal Akbar Ali ◽  
Nelson Iván Agudelo Higuita
Keyword(s):  
Renal Transplant ◽  
Kidney Disease ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
Strongyloides Stercoralis ◽  
The United States ◽  
Stool Examination ◽  
Peripheral Eosinophilia ◽  
Adult Polycystic Kidney Disease ◽  
Prisoner Of War

We present a case of a 71-year-old Vietnamese man with chronic kidney disease secondary to adult polycystic kidney disease. He had been a prisoner of war before undergoing a successful cadaveric renal transplant in the United States. He presented to clinic one year after the transplant with gross hematuria, productive cough, intermittent chills, and weight loss. Long standing peripheral eosinophilia of 600–1200/μL triggered further evaluation. A wet mount of stool revealedStrongyloides stercoralislarvae. A computed tomography (CT) of chest showed findings suggestive of extension of the infection to the lungs. The patient was treated with a three-week course of ivermectin with complete resolution of signs, symptoms, peripheral eosinophilia, and the positive IgG serology. Strongyloides infection in renal transplant patient is very rare and often presents with hyperinfection, associated with high mortality rates. The American Transplant Society recommends pretransplant screening with stool examination andStrongyloides stercoralisantibody in recipients and donors from endemic areas or with eosinophilia. It is imperative that healthcare professionals involved in the care of these individuals be cognizant of these recommendations as it is a very preventable and treatable entity.

Primary Hepatic Carcinoid in a Renal Transplant Patient

1999 ◽  
Vol 5 (1) ◽  
pp. 67-69 ◽  
Author(s):  
Balázs Nemes ◽  
Hemangshu Podder ◽  
Jenő Járay ◽  
Gabriella Dabasi ◽  
Laura Lázár ◽  
...  
Keyword(s):  
Renal Transplant ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
Hepatic Carcinoid

Pharmacokinetics of neoral before and after total gastrectomy in a renal transplant patient

2002 ◽  
Vol 34 (3) ◽  
pp. 805-806 ◽  
Author(s):  
T. Chapelle ◽  
G. Roeyen ◽  
K. De Greef ◽  
G.A. Verpooten ◽  
J.L. Bosmans ◽  
...  
Keyword(s):  
Renal Transplant ◽  
Total Gastrectomy ◽  
Renal Transplant Patient ◽  
Transplant Patient ◽  
Before And After
Sign in / Sign up

Export Citation Format

Share Document