Acute cellular rejection occurring on the first day after living-related renal transplantation: A case report

Michihiro Maruyama, Takashi Kenmochi, Kenichi Saigo, Naotake Akutsu, Chikara Iwashita, Kazunori Ohtsuki, Hiroshi Kitamura, Kensuke Joh

Research output: Contribution to journalArticle

Abstract

The patient was a 52-year-old man who received an ABO-compatible but non-identical living-related renal graft from his wife. The graft started to function immediately and the urine output rate was over 100 mL/h. However, this was gradually decreased within 12 h after transplantation. On day 2 post-transplant, the urine output almost stopped. A biopsy specimen revealed lymphocyte dominant cellular infiltration in the interstitium with mild tubulitis (according to Banff's schema grade Ia) and no C4d deposition in peritubular capillaries. Immunohistochemistry disclosed T-cell infiltration. The patient responded to a course of steroid pulse therapy (five days of 500 mg of methylprednisolone). The urine output gradually increased and the level of serum creatinine gradually decreased to 1.0 mg/dL. These clinical and histological findings strongly suggested acute cellular rejection. Acute cellular rejection occurring within 24 h post-transplant is extremely rare. In the present case acute cellular rejection occurred within the first day after living-related renal transplantation and was strongly suspected from histopathological findings in the allograft biopsy specimen.

Original languageEnglish
Pages (from-to)38-41
Number of pages4
JournalClinical Transplantation
Volume20
Issue numberSUPPL. 15
DOIs
Publication statusPublished - 01-07-2006
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Transplantation

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