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Report of increased creatinine with more than one etiology in a kidney transplanted disease

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References

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Comparison of tacrolimus and cyclosporine for immunosuppression after renal transplantation: An updated systematic review and meta-analysis. Saudi J Kidney Dis Transpl. 2018 Nov-Dec;29(6):1376- 1385.

2. Penninga L, Møller CH, Gustafsson F, Steinbrüchel DA, Gluud C. Tacrolimus versus cyclosporine as primary immunosuppression after heart transplantation: systematic review with meta-analyses and trial sequential analyses of randomised trials. Eur J Clin Pharmacol.

2010 ;66(12):1177-1187.

3. Kotagiri P, Chembolli D, Ryan J, Hughes PD, Toussaint ND. Urinary Tract Infections in the First Year Post-Kidney Transplantation: Potential Benefits of Treating Asymptomatic Bacteriuria.

Transplant Proc. 2017 Nov;49(9):2070- 2075.

4. Gołębiewska JE, Dębska-Ślizień A, Rutkowski B. Treated asymptomatic bacteriuria during first year after renal transplantation. Transpl Infect Dis. 2014 Aug;16(4):605-615.

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10.1111/tri.13392.

7. Sood P, Senanayake S, Sujeet K, Medipalli R, Zhu YR, Johnson CP, et al. Management and outcome of BK viremia in renal transplant recipients: a prospective single- center study. Transplantation. 2012 Oct 27;94(8):814-821.

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Report of increased creatinine with more than one etiology in a kidney transplanted disease

Minoo Fs1,2*

1. Assistant Professor of Nephrology, Nephrology Research Center, Tehran University of Medical Science, Tehran, Iran, [email protected].

2. Center of Excellence in Nephrology, Tehran University of Medical Science, Tehran, Iran

Received: 21 Oct 2018 Accepted: 3 Dec 2018

Abstract

Background: Kidney transplant patients should be regularly visited to prevent complications.

A 42-year old female, who had received a kidney transplant 4 months previously, was admitted to hospital due to increased creatinine of up to 3.5 mg/dl. She was first treated for a urinary infection, resulting in a decrease of creatinine level. Then a decreasing immunosuppressive dose was given, due to a BK positive result. A creatinine level increase resulted, and acute cellular rejection was reported in a kidney biopsy. Next methyl prednisolone was administered, and finally, creatinine level became normal.

Keywords: Urinary infection, Kidney transplantation, Creatinine

*Citation: Minoo Fs. Report of increased creatinine with more than one etiology in a kidney transplanted disease.

Yafte. 2019; 20(4):8-13.

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