detalle del documento
IDENTIFICACIÓN
doi:10.1007/s00467-024-06378-6...
Autor
Sabanci, Mehmet Taşdemir, Mehmet Öksüz, Burcu Altuner Torun, Yasemin Sütçü, Murat Özkaya, OzanLangue
enEditor
Springer
Categoría
Urology
Año
2024
fecha de cotización
29/5/2024
Palabras clave
anemia immunosuppression kidney transplant parvovirus b19 treatment protocols anemia kidney transplantResumen
A 13-year-old girl who had a kidney transplant four weeks prior presented with a 10-day history of fatigue, paleness, and headache.
On physical examination, tachycardia and paleness were noted.
Laboratory testing was notable for severe anemia and mild leukopenia and thrombocytopenia.
Polymerase chain reaction (PCR) test for Epstein-Barr virus (EBV) and cytomegalovirus (CMV) were negative and for parvovirus B19 (PVB19) was positive.
Despite lower immunosuppression and administration of intravenous immunoglobulin (IVIG) it persisted for 15 months, and frequent red blood cell transfusions were needed.
PVB19 is a less common but significant complication.
The patient's clinical course demonstrates the importance of this complication and the challenges in its management.
A notable void exists in the literature regarding standardized treatment protocols for PVB19-induced recurrent anemia after kidney transplant.
This case indicates the need for further research and consensus to guide effective clinical interventions in similar cases.
Sabanci, Mehmet,Taşdemir, Mehmet,Öksüz, Burcu,Altuner Torun, Yasemin,Sütçü, Murat,Özkaya, Ozan, 2024, Managing recurrent parvovirus B19-associated anemia after a pediatric kidney transplant, Springer
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