Delayed Graft Function and Tacrolimus Overdosage: A Case Report.

IF 0.8 Q4 SURGERY
Teodor Căluşi, Bogdan Sorohan, Dragş Eugen Georgescu, Dan Spânu, Alexandru Iordache, Florea Purcaru
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引用次数: 0

Abstract

Delay graft function (DGF) is a condition that is frequently associated with kidney transplantation and could complicate subsequent evolution of the renal graft. There are multiple factors implicated in the development of DGF, some avoidable through careful management, others without the possibility of correction. Gordon syndrome or type II pseudo-hypoaldosteronism and nephrotoxicity induced by calcineurin inhibitors are complications that can precipitate the development of DGF. These unfavorable manifestations can occur after high levels of Tacrolimus secondary starting calcineurin inhibitors treatment and can be prevented with careful monitorization of its levels. We reported a case of a 58-year-old patient who was admitted as receptor for cadaveric kidney transplantation (KT) and developed all the complications associated with Gordon-like syndrome and nephrotoxicity including DGF in the context of high Tacrolimus levels after starting calcineurin inhibitors treatment.

移植功能延迟和他克莫司过量1例报告。
延迟移植功能(DGF)是一种经常与肾移植相关的疾病,可能使移植肾的后续进化复杂化。DGF的发展涉及多种因素,有些可以通过精心管理避免,有些则无法纠正。戈登综合征或II型假性醛固酮增多症和钙调磷酸酶抑制剂引起的肾毒性是可促进DGF发展的并发症。这些不良表现可能发生在高水平的他克莫司继发性钙调磷酸酶抑制剂治疗后,可以通过仔细监测其水平来预防。我们报告了一例58岁的患者,他作为尸体肾移植(KT)的受体入院,在开始钙调磷酸酶抑制剂治疗后,在高他克莫司水平的情况下,出现了与戈登样综合征和肾毒性相关的所有并发症,包括DGF。
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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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