Abstract
Recently kidney transplantation has become an accepted treatment modality for the treatment of HIV infected patients with end-stage renal diseases. For such treatment it is required stability of clinical and laboratory parameters related to HIV infection and the use of highly active antiretroviral therapy. In this report we present the first two cases in Brazil of patients with HIV infection transplanted with organs from deceased donors performed successfully in our institution. The interactions between immunosuppressive and antiretroviral drugs, the co-infections, cardiovascular risk profile and the high incidence of acute rejection remain the major problems to be dealt with in these patients.
Highlights
Kidney transplantation has become an accepted treatment modality for the treatment of HIV infected patients with end-stage renal diseases. For such treatment it is required stability of clinical and laboratory parameters related to HIV infection and the use of highly active antiretroviral therapy
In this report we present the first two cases in Brazil of patients with HIV infection transplanted with organs from deceased donors performed successfully in our institution
Atualmente, embora ainda não seja uma prática corriqueira em todos os centros, não é incomum que se coloque pacientes HIV + em lista de espera para transplante renal desde que certos pré-requisitos, descritos adiante neste artigo, estejam satisfeitos
Summary
Kidney transplantation has become an accepted treatment modality for the treatment of HIV infected patients with end-stage renal diseases. Apresentamos a experiência inicial do Hospital de Clínicas de Porto Alegre com transplante renal em receptores infectados pelo HIV.
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