[Posterior reversible encephalopathy syndrome (PRES) after kidney transplantation: a case report].
Hinyokika Kiyo
; 60(8): 387-92, 2014 Aug.
Article
em Ja
| MEDLINE
| ID: mdl-25179989
ABSTRACT
A 60-year-old woman with chronic renal failure due to a polycystic kidney underwent living kidney transplantation. Initial immunosuppressive therapy consisted of tacrolimus (TAC), mycophenolate mofetil (MMF), prednisolone, and basiliximab. Furthermore, rituximab was administered, and double filtration plasmapheresis and plasma exchange were utilized because of ABO-incompatible transplantation, while intravenous immune serum globulin (IVIG) was given because donor specific antibody was positive. Four days after the renal transplantation, the patient developed visual abnormalities, a headache, and paralysis. Then, he became unconscious. Magnetic resonance imaging of the brain demonstrated bilateral posterior vasogenic edema. Our diagnosis was posterior reversible encephalopathy syndrome due to TAC neurotoxicity. After converting TAC to reduced cyclosporine and everolimus, the symptoms rapidly disappeared.
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Base de dados:
MEDLINE
Assunto principal:
Transplante de Rim
/
Síndrome da Leucoencefalopatia Posterior
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Ja
Ano de publicação:
2014
Tipo de documento:
Article