Abstract
Introduction: Antibody-mediated rejection (AMR) is the most serious cause of renal allograft loss. Most of the acute AMR attacks occur within the first week post-transplant. Subject: In this case report, we present a case of AMR that occurred five months post-transplant in association with acute oral viral infection. This patient had history of bone marrow hypoplasia two months following onset of hemodialysis and was maintained on cyclosporine and prednisolone beside switch to hirudin as anticoagulant. During that period, she also received 6 units of whole blood till she underwent kidney transplant after 2 years on dialysis. The post-transplant course was uneventful till the patient developed severe acute herpetic gingivastomatitis 5 months post-transplant that was associated with abrupt rise of renal chemistry. Biopsy proven AMR showed resistance to treatment with plasma exchange [PE] and Intravenous immunoglobulins. The patient was readmitted to regular hemodialysis unit for 2 months together with minimization of immunosuppressive treatment. Outcome: During routine follow-up investigations, kidney function tests became near to the pre-rejection levels. We discontinued dialysis and re-administered the initial immunosuppressive regimen. Conclusion: This is the first reported case of AMR in association with acute Herpes simplex infection that shows delayed spontaneous recovery.
Highlights
Most previous studies utilised clinical, college and convenience samples from Pharmaceutical Instituions
Researcher team conducted the study with a focus on discovering a greater understanding of women's sexual pleasure and orgasm [2]
The data make clear that there have certain styles of touch that are more commonly preferred by women, emphasising the value of studying sexual pleasure and not just sexual problems
Summary
Tongue has the strongest muscle body it has definitely one of the most unique: The tongue can be a harbinger for the health of your entire body. According to researcher tongue and mouth tissues are more transparent than skin in the game so medical providers can more see signs of a medical condition beneath the surface [1]. The tongue and mouth have a great place to look for signs of disease before a patient develops symptoms tongue has loaded with sensory nerves, making it more sensitive than other parts
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