Hayashi Yujiro, Nagahara Akira, Kawashima Atsunari, Kakuta Yoichi, Ujike Takeshi, Abe Toyofumi, Fukuhara Shinichiro, Fujita Kazutoshi, Uemura Motohide, Kiuchi Hiroshi, Imamura Ryoichi, Miyagawa Yasushi, Ichimaru Naotsugu, Maeda Tetsuo, Nonomura Norio
Department of Urology, Osaka University Graduate School of Medicine.
Department of Advanced Technology for Transplantation, Osaka University Graduate School of Medicine.
Nihon Hinyokika Gakkai Zasshi. 2017;108(3):166-169. doi: 10.5980/jpnjurol.108.166.
A 57-year-old female patient on hemodialysis with chronic renal failure due to chronic glomerular nephritis received deceased donor kidney transplantation. Induction immunosuppressive therapy was combination of tacrolimus, mycophenolate mofetil, everolimus, prednisolone, and basiliximab. She was diagnosed with secondary thrombotic microangiopathy (TMA) by clinical findings such as hemolytic anemia, thrombocytopenia and acute kidney injury not by pathological findings on the 4th post-operative date. Plasma exchange was performed with suspension of tacrolimus. General conditions recovered, and the graft function was preserved.
