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Early post‐transplant diagnosis of cytomegalovirus esophagitis in an ABO‐incompatible kidney transplant recipients: A case report
Authors:Masahiko Yazawa  Hideo Sasaki  Yuko Sakurai  Hiroya Kudo  Ryuto Nakazawa  Tatsuya Chikaraishi  Yugo Shibagaki
Affiliation:1. Department of Nephrology and Hypertension, St. Marianna University School of Medicine, Kawasaki, Japan;2. Department of Urology, St. Marianna University School of Medicine, Kawasaki, Japan;3. Department of Pharmacy, St. Marianna University School of Medicine, Kawasaki, Japan
Abstract:Cytomegalovirus (CMV) is a common infectious pathogen in kidney transplant patients. Here, we present a case of CMV esophagitis with antigenemia, that developed within 3 days of kidney transplantation, a timeline generally considered to be too early for development of a CMV infection. Intense immunosuppressive therapy for desensitization in ABO‐incompatibility or in the presence of donor‐specific antibody can increase the risk for significant opportunistic infection immediately after or even before transplantation.
Keywords:ABO‐incompatible kidney transplantation  cytomegalovirus (CMV)  esophagitis  kidney transplantation  opportunistic infection
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