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Mixed Pulmonary Infection in a Patient With Successfully Treated Recurrence of Focal Segmental Glomerulosclerosis on Kidney Allograft

Year: 2024
Type: article
Study design: Case Report
Abstract: Infection pulmonaire mixte chez une malade greffée ayant récidive de glomerulosclerose segmentaire focale traitéeIntroduction.La récurrence de la glomérulosclérose segmentaire focale (GSFS) chez les patients ayant une greffe rénale est une problématique difficile.Les infections pulmonaires peuvent compliquer davantage l'évolution clinique de ces patientes.Présentation de cas.Une femme de 36 ans atteinte d'insuffisance rénale chronique due à la GSFS a été transplantée d'un donneur vivant en 2017, ayant une fonction de greffe stable.La patiente a présenté une protéinurie et une augmentation de la créatinine sérique, 5 ans après la transplantation.La biopsie rénale a montré une récidive de la GSFS dans l'allogreffe ABSTRACT Introduction.Recurrence of focal segmental glomerulosclerosis (FSGS) in patients with a kidney transplant (KTx) is a challenging issue.Pulmonary infections can further complicate the clinical course of these patients.Case presentation.A 36-years-old female with kidney failure due to FSGS had KTx from a living-related donor in 2017, with stable graft function during the follow-up.In 2021, the patient presented with proteinuria and increased serum creatinine.Renal biopsy demonstrated recurrence of FSGS in kidney allograft.She was treated with Rituximab combined with plasma exchanges and achieved complete remission.In 2023, the patient was admitted due to 10-days history of weakness, fever and productive cough with hemoptysis.The computed tomography scan of the lungs revealed bilateral ground-glass opacities with
Language: English
Subfield: Nephrology
Field: Medicine
Open Access status: gold
Estimated APC paid: $118
OpenAlex ID: W4403474751
FWCI: 0.248
Cites:
Cited by: 1
Related to: 10