Vesepatológia 2. eset.
Description: Alapbetegség: polycystás vese, felnőttkori típus. Vese-transzplantáció 2011. 04. 07.-én. Donorból származó vesebiopszia: ép vese, enyhe hyalinos arteriolosclerosis. Első dysfunctios vesebiopszia: 2012. 01.02. Dg: Heveny T-sejt mediált tubulointerstitialis rejectio, Banff grade I. Ezt követően intravénás steroid lökés-terápiában részesült a beteg. Később a klinikai adatok szerint CMV infekció jelentkezett, ami Valganciklovir kezelésre ugyan gyógyult, de a serum kreatinin szint emelkedett maradt. Rebiopszia. 2012.05.16. Serum kreatinin: 274 µmol/L, eGFR: 20.2 ml/min/1,73 m². Duplex UH szabályos transzplantált vesét igazolt. Immunszuppresszív kezelés: standard dózisú tacrolimus, steroid és mikofenolsav.
Rendelői kérdés: Rejectio? Calcineurin inhibitor toxicitás?
Created date:
2015-04-10
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