Vellakampadi D, Siddini V, Vankalakunti M, Babu K, Ballal HS. Rare Case Report of De-novo Pauci-immune Necrotizing Crescentic Glomerulonephritis in 1
st-week Post-kidney Transplantation.
Indian J Nephrol 2021;
31:566-570. [PMID:
35068766 PMCID:
PMC8722549 DOI:
10.4103/ijn.ijn_405_19]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Revised: 02/16/2020] [Accepted: 04/19/2020] [Indexed: 11/16/2022] Open
Abstract
Early post-transplant de-novo pauci-immune necrotizing crescentic glomerulonephritis occurring within the first week post transplantation has not been reported according to the literature search done by us. Here, we are reporting a 56 years male patient who underwent living spousal donor kidney transplantation for presumed diabetic nephropathy, and developed pauci-immune necrotizing crescentic glomerulonephritis (NCGN) on sixth day post-transplant. Post-renal transplant recurrence of disease in ANCA-associated vasculitis patients occurs within days to months. However, development of de-novo pauci-immune crescentic glomerulonephritis is a rare occurrence. We report this patient who developed probable pauci-immune de-novo NCGN which responded to treatment with plasmapheresis, steroids and cyclophosphamide.
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