Abstract

Infectious complications are the leading causes of morbidity and mortality among renal transplant recipients. Hypogammaglobulinaemia may develop as a result of immunosuppressive therapy and is associated with an increasedriskofopportunisticinfectionsparticularlyinthe6month post-transplant period. Rituximab, which is used for antibody-mediatedrejection(AMR),mayalsocontributeto the development of hypogammaglobulinaemia via B-cell depletion. Intravenous immunoglobulin replacement may be beneficial in this setting. With the following case report, weaimtoincreasetheawarenessofopportunisticinfections andseverehypogammaglobulinaemiainrenaltransplantrecipients treated with rituximab for acute AMR.

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