Splenectomy for ABO-Incompatible Kidney Transplantation and Very Late-Onset Cytomegalovirus Disease.

Abstract:

INTRODUCTION:Splenectomy had been previously performed in ABO-incompatible kidney transplantation to reduce the B cell pool. However, studies have shown that patients undergoing splenectomy may have a lifelong susceptibility to infection and mortality. Splenectomy may affect the incidence of cytomegalovirus (CMV) disease even at a very late stage after transplantation in ABO-incompatible recipients. PATIENTS AND METHODS:Seven patients received their graft from an ABO-incompatible living donor at our institution and underwent splenectomy for B cell reduction. Among them, 3 recipients experienced very late-onset CMV disease approximately 10 years after their transplant and were enrolled in this study. RESULTS:Very late-onset CMV disease occurred at 9 years and 9 months, 15 years, and 13 years and 5 months after transplantation, respectively. Two recipients suffered from CMV retinitis, while one experienced colitis. The age of the patients at onset of CMV disease was 69 years, 42 years, and 71 years, respectively. CONCLUSION:This may be the first report on very late-onset CMV disease after splenectomy in ABO-incompatible kidney transplantation. We should be aware that these recipients can experience very late-onset CMV disease even approximately 10 years after their transplant.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Iwai T,Uchida J,Kosoku A,Kabei K,Nishide S,Naganuma T,Maeda K,Yoshikawa Y,Kumada N,Takemoto Y,Nakatani T

doi

10.1159/000504862

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

651-656

issue

7-8

eissn

0042-1138

issn

1423-0399

pii

000504862

journal_volume

104

pub_type

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    authors: Prezioso D,Lotti T,Polito M,Montironi R

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    pub_type: 杂志文章

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    authors: Kjaergaard J,Starklint H,Bierring F,Thybo E

    更新日期:1977-01-01 00:00:00

  • Adenosine triphosphate and adenosine diphosphate in human semen: correlation with sperm count and motility.

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    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000282361

    authors: Hofmann R,Lehmer A,Gürster E,Hartung R

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    journal_title:Urologia internationalis

    pub_type: 杂志文章

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    authors: Soebadi MA,Hakim L,Van der Aa F,De Ridder D

    更新日期:2019-01-01 00:00:00

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    journal_title:Urologia internationalis

    pub_type: 杂志文章

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    authors: Glikman L,Stein A,Lurie A

    更新日期:1987-01-01 00:00:00

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    更新日期:2020-08-13 00:00:00

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    doi:10.1159/000282625

    authors: Chow NH,Tzai TS,Cheng HL,Chan SH,Lin JS

    更新日期:1994-01-01 00:00:00

  • Issues on early diagnosis and treatment of localized prostate cancer.

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    doi:10.1159/000282860

    authors: Pontes JE

    更新日期:1996-01-01 00:00:00

  • Comparison of retroperitoneoscopic and transperitoneal laparoscopic adrenalectomy for right-sided benign tumors: a single-institute experience.

    abstract:INTRODUCTION:There is a lack of data regarding the appropriateness of transperitoneal and retroperitoneal approaches for right-sided laparoscopic adrenalectomy. The aim of this study was to determine whether there is any difference between right-sided transperitoneal laparoscopic adrenalectomy (TLA) and retroperitoneal...

    journal_title:Urologia internationalis

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    doi:10.1159/000357627

    authors: Chiang PH,Yu CJ,Lee WC,Wang HJ,Hsu WC

    更新日期:2015-01-01 00:00:00

  • Prophylactic intravesical chemotherapy to prevent bladder tumors after nephroureterectomy for primary upper urinary tract urothelial carcinomas: a systematic review and meta-analysis.

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    doi:10.1159/000350508

    authors: Fang D,Li XS,Xiong GY,Yao L,He ZS,Zhou LQ

    更新日期:2013-01-01 00:00:00

  • Vesicourethral pressure recordings in the assessment of neurogenic bladder functions in spinal cord injury patients.

    abstract::A method of synchronous study for monitoring the pressure activity of the rectum, bladder and urethral sphincter was described. Intrarectal pressures were obtained using a 8 F custom made balloon catheter. Constant urethral infusion with intrasphincteric pressure recording was arranged through a specially designed 12 ...

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    pub_type: 杂志文章

    doi:10.1159/000280126

    authors: Yalla SV,Rossier AB,Fam B

    更新日期:1977-01-01 00:00:00

  • Ipsilaterality of motor innervation of canine urethral sphincter.

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    doi:10.1159/000281328

    authors: Morita T,Kizu N,Kondo S,Dohkita S,Tsuchida S

    更新日期:1988-01-01 00:00:00

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    pub_type: 杂志文章,多中心研究

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    更新日期:2008-01-01 00:00:00

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    更新日期:2007-01-01 00:00:00

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    更新日期:2005-01-01 00:00:00

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    更新日期:1991-01-01 00:00:00

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    doi:10.1159/000282602

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1159/000282320

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    更新日期:2011-01-01 00:00:00