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Trauma to transplanted kidney with open fractures: Report of a case

100%

Piskin T. , Aydin C. , Kayaalp C. , Sumer F.

Open Medicine

2010

tom 5

nr 6

716-718

A 45 year-old man, who had undergone kidney transplantation 7 years prior, was admitted to hospital after a motorcycle accident. The patient was conscious, hemodynamically stable, and had suffered open tibia and femur fractures, as well as closed pubic arm fractures. He had gross hematuria and radiologic study revealed a 3.5 cm length laceration on the transplanted kidney. His renal functions and hematuria recovered after intensive care. He required 2 surgeries for the open fractures but his general condition worsened after the surgical interventions. Acinetobacter, Candida albicans and pseudomonas aeruginosa were determined by blood cultures. Immunosupressive drugs (cyclosporine, prednisolone and azathioprine) were stopped. Despite intensive care, the patient died of sepsis 17 days post trauma. Open fractures of long bones provide a higher risk of sepsis in transplant patients than closed fractures.

Insomnia severity in chronic kidney disease patients with various therapies

100%

Knezevic M. , Djordjevic V. , Bivolarevic I. , Jovic J. , Djordjević V.

Open Medicine

2012

tom 7

nr 1

112-117

The prevalence of insomnia is greater in end-stage renal disease. The aim of our study was to determine the frequency of insomnia and subclinical insomnia in patients with various dialysis therapy and kidney transplant recipients, in order to assess the severity of insomnia and examine whether there is a difference in severity among groups. In cross-sectional study, we evaluated 120 patients with terminal renal failure. Based on therapy, patients were divided into four groups: hemodiafiltration, standard bicarbonate dialysis, peritoneal dialysis and kidney transplant recipients. The severity of insomnia was evaluated through the use of the Insomnia Severity Index (ISI). Most patients who reported any kind of insomnia problems with ISI were on conventional dialysis (80%), followed by hemodiafiltration (76.7%) and peritoneal dialysis (63.3%). Transplant recipients had least difficulties with insomnia (46.7%). Insomnia Severity Index showed that insomnia in end-stage renal patients is not very severe. Most of the patients had “no clinically significant insomnia”. Our findings indicate that patients on hemodiafiltration and transplant recipients have a significantly lower score on Insomnia Severity Index. Patients with end-stage renal disease have high frequency insomnia problems. However, our study shows that insomnia in these patients is not severe. Insomnia is the most frequent and severest in patients on standard bicarbonate dialysis.

HLA antibody screening strategy in patients awaiting kidney transplantation

100%

Vojvodić S. , Ademović-Sazdanić D.

Open Medicine

2013

tom 8

nr 3

317-321

Detection of presensitization in recipients of kidney transplants

100%

Vasić N. , Vojvodić S. , Ademović-Sazdanić D.

Open Medicine

2013

tom 8

nr 3

310-316

Malignancies after kidney transplantation: 3 clinical case reports

88%

Dalinkevičienė E. , Kuzminskis V. , Kairevičė L. , Jančiauskienė R. , Milonas D. , Jievaltas M. , Sribikienė B. , Bumblytė I.-A.

Open Medicine

2013

tom 8

nr 3

322-327

Post-transplant malignancies present an aggressive course and are a significant cause of morbidity and mortality. Tumours of viral ethiology have the greatest risk in renal transplant recipients. Oncogenic effect of immunosuppressive therapy is another major risk factor of post-transplant malignancy. We report cases of three different types of malignancies developed after kidney transplantation: non-Hodgkin’s lymphoma, Kaposi’s sarcoma and germ cell testicular cancer (nonseminoma).