32 research outputs found
Salmonella Appendicitis in Renal Transplantation
While appendicitis remains one of the commonest surgical diseases, there are relatively few reports following renal transplantation. A 33-year-old man was admitted with diarrhea, fever, and epigastric pain 7 years following a cadaveric renal transplant. CT scanning confirmed a diagnosis of appendicitis which was removed within 24 hours of admission. Histology and blood cultures following surgery confirmed Salmonella type b appendicitis. Patient was safely discharged home 5 days following hospital admission
Development of Diabetes Mellitus Following Kidney Transplantation: A Canadian Experience
59 NON-RECOVERY OF ANEMIA 6 WEEKS POST TRANSPLANT IN CADAVERIC RENAL TRANSPLANT RECIPIENTS PREDICTS POORER GRAFT SURVIVAL.
The effect of acute rejection on long-term renal graft survival is mainly related to initial renal damage
Clinical response and temporal patterns of acute cellular rejection: relationship to chronic transplant nephropathy
Post-transplant diabetic ketoacidosis - A possible consequence of immunosuppression with calcineurin inhibiting agents: A case series
PowerPoint Slides for: Mortality after Renal Allograft Failure and Return to Dialysis
<p><b><i>Introduction:</i></b> The outcomes of patients who fail their
kidney transplant and return to dialysis (RTD) has not been investigated
in a nationally representative sample. We hypothesized that variations
in management of transplant chronic kidney disease stage 5 leading to
kidney allograft failure (KAF) and RTD, such as access, nutrition,
timing of dialysis, and anemia management predict long-term survival. <b><i>Methods:</i></b>
We used an incident cohort of patients from the United States Renal
Data System who initiated hemodialysis between January 1, 2003 and
December 31, 2008, after KAF. We used Cox regression analysis for
statistical associations, with mortality as the primary outcome. <b><i>Results:</i></b>
We identified 5,077 RTD patients and followed them for a mean of 30.9 ±
22.6 months. Adjusting for all possible confounders at the time of RTD,
the adjusted hazards ratio (AHR) for death was increased with lack of
arteriovenous fistula at initiation of dialysis (AHR 1.22, 95% CI
1.02-1.46, <i>p</i> = 0.03), albumin <3.5 g/dL (AHR 1.33, 95% CI 1.18-1.49, <i>p</i> = 0.0001), and being underweight (AHR 1.30, 95% CI 1.07-1.58, <i>p</i> = 0.006). Hemoglobin <10 g/dL (AHR 0.96, 95% CI 0.86-1.06, <i>p</i>
= 0.46), type of insurance, and zip code-based median household income
were not associated with higher mortality. Glomerular filtration rate
<10 mL/min/1.73 m<sup>2</sup> at time of dialysis initiation (AHR 0.83, 95% CI 0.75-0.93, <i>p</i> = 0.001) was associated with reduction in mortality. <b><i>Conclusions:</i></b>
Excess mortality risk observed in patients starting dialysis after KAF
is multifactorial, including nutritional issues and vascular access.
Adequate preparation of patients with failing kidney transplants prior
to resuming dialysis may improve outcomes.</p