[Our experience with the dispensary observation and treatment of kidney transplant patients].

Abstract

The authors report the results from the follow-up of 14 patients with transplanted kidney, three out of them with a lethal end--mycotic sepsis--1, purulent peritonitis--1 and of transplant lung-syndrome--1. The rest (11-78,5%) were in a good condition during 1 year and 8 months to 6,5 years (an average of 4 years and 10 days by April 30, 1980). Eleven of the patients had their transplantations performed by Prof. Sumakov--Prof. Levizkii in Moscow and three--by Prof. Hamburger, Prof. Crosnier, Prof. Lacomb in Necker Hospital, Paris. During the follow-up period those 14 patients had the following complications: 15 acute crises of rejection, successfully coped, with residual phenomena in 4 of them; 10--uroinfections, 7--other infections, one mycotic sepsis and one purulent peritonitis with a lethal end; three with epidermic hepatitis, one--Herpes zoster, two bronchopneumonias, one perinephritis, 6--with arterial hypertension that necessitated binephrectomy in two, three patients with steroid diabetes--cured, four with aseptic osteonecrosis of the head of the femur, necessitating prosthesis of the femoral joint in one patient, 5--with surgical complications, corrected at the transplantation centers. Furthermore, one case with transplant lung-syndrome, successfully restored to health as reported by the authors. All those 11 patients with transplantations are in good health (one with a chronic rejection crisis) and 8 of them--work. The authors stress upon the follow-up of the renal patients with transplantation as an important step, consolidating the remote results of renal transplantation.

• Authors: G Stefanov, B Beleva
• Journal: Vutreshni bolesti (Vutr Boles) Vol. 20 Issue 1 Pg. 34-9 ( 1981) ISSN: 0506-2772 [Print] Bulgaria
• Vernacular Title: Nashiiat opit ot dispansernoto nabliudenie i lechenie na bolni s transplantiran bŭbrek.
• PMID: 7018086 (Publication Type: Journal Article)

Topics

• Adult
• Ambulatory Care
• Female
• Follow-Up Studies
• Graft Rejection
• Humans
• Immunosuppression Therapy (adverse effects)
• Kidney (physiopathology)
• Kidney Transplantation
• Male
• Middle Aged
• Postoperative Complications (epidemiology, mortality)