A case of renal transplantation.
Article
in English
| IMSEAR
| ID: sea-1122
ABSTRACT
A 12-year-old boy was admitted in paediatric nephrology unit of Bangabandhu Sheikh Mujib Medical University (BSMMU) with massive proteinuria, hypertension, respiratory distress and anaemia and diagnosed as nephrotic syndrome. Percutaneous needle biopsy was consistent with diffuse endocapillary proliferative glomerulonephritis and initially managed conservatively with injection methyl prednisolone, cyclophosphamide, lisinopril etc. without any improvement. Living-related renal transplantation was done successfully from paternal uncle. Two episodes of acute rejection occurred, one immediately after transplantation and another after one month. These were managed with IV methyl prednisolone for 3 days. At present, he is on oral prednisolone, cyclosporine, azathioprine and antihypertensives with normal haemoglobin and stable serum creatinine level (pre-transplant level 12.5mg/dl to post-transplant level 1.5mg/dl). He has been maintaining his normal life including schooling for last few months. It is concluded that a patient with uncommon presentation of nephrotic syndrome should be confirmed by renal biopsy and renal transplantation may be considered if conservative measures fail.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Azathioprine
/
Humans
/
Male
/
Methylprednisolone
/
Glomerulonephritis, Membranoproliferative
/
Child
/
Adolescent
/
Kidney Transplantation
/
Lisinopril
/
Cyclophosphamide
Language:
English
Year:
2008
Type:
Article
Similar
MEDLINE
...
LILACS
LIS