Nagano T, Ikegami M, Matsuda H, Akiyama T, Kurita T
Department of Urology, Kinki University School of Medicine, Japan.
Hinyokika Kiyo. 1996 Jan;42(1):59-61.
We report a cadaveric renal transplant recipient suffering from hemolytic uremic syndrome (HUS). A 46-year-old woman received a cadaveric renal transplantation on February 16, 1994. From the 20th postoperative day, anemia, thrombocytopenia and deterioration of graft function occurred. Graft biopsy on the 20th postoperative day indicated HUS by microthrombotic arterioglomerulopathy. Plasma exchange and 15-deoxyspergualin improved her graft function. From these clinicopathological findings, we conclude that she had HUS caused by acute humoral rejection.