Download - A rare case of k tx
Transcript
A rare case of KTx
Karunanan kannampoyilil(Prakashan KP)
Dept of nephrology
TP/59/M●RTD army●1987-CAD●HTN●Hyper chole●ESKD-1959●?Cause
RTX14 sept 1959●Chennai●Broth B+ve●Patient A+ve●Splenectomy●1st time in india●2 nd world
Unevent full●Aza●Pred●Ant HTNsve●Chlol low●Disprine
Chro rej●TB RIB●Surgery ●Removal rib●ATT ●Good recovery
2002 chro rej●CAD ex ●Cardiol●Adv Angi●Not done●High risk●concervative
2003-2D cont’d●Other drugs●2004●PTDM●Insuline added●Cad HTN ●Chr rejectionimroved
Still living●RTX●No spleen●Classical regimen-2D IS●Anti HTN●Anti Diabetic●Chol lower●>15 yrs