Remarks on some cases of acute rejection of transplanted kidneys at Hue Central Hospital
- Author:
Pham Nhu The
- Publication Type:Journal Article
- Keywords:
rejection of transplanted kidneys
- MeSH:
Kidney Transplantation;
Rejection (Psychology)
- From:Journal of Practical Medicine
2005;510(4):68-70
- CountryViet Nam
- Language:Vietnamese
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Abstract:
Study on 2 patients with acute rejection of transplanted kidneys among 12 patients with renal transplantations at Hue Central Hospital. Results: the incidence of acute rejection was 16.66%. Attacks of acute rejection occurred between 4th and 7th day after transplantations. The signs and symptoms of acute rejection appeared in order: pain in transplanted kidneys, fever, decrease of diuresis, palpable graft enlargement, hypertension, increase in serum creatinine and urea concentrations, weight gain, anorexia. Treatment involved intravenous methyl prednisone (Solumédrol) with average dose of 250 mg/day for 5 days, followed by oral administration; replacing azathioprine by mycophenolate mofetil gave good outcomes. The signs and symptoms of acute rejection disappeared after 5-6 days of using Solumédrol and mycophenolate mofetil.