case report

Resolution of Uremic Pericarditis after Living Donor Kidney Transplantation: A Case Report

Luca Michele Martelli1, Maria Cristina Di Vico1, Antonella Fava2, Gaetano Maria De Ferrari2, Ester Gallo1, Gianluca Leonardi3, Caterina Dolla1, Antonio Lavacca1, Luigi Biancone1*

1Renal Transplantation Center “A. Vercellone”, Division of Nephrology Dialysis and Transplantation, Department of Medical Sciences, Hospital, University of Turin, Turin, Italy

2Division of Cardiology, Department of Medical Sciences, “Città della Salute e della Scienza di Torino”, Hospital, University of Turin, Turin, Italy

3Department of Nephrology and Dialysis, Ospedale Maggiore di Chieri, Chieri, Italy

*Corresponding author: Luigi Biancone, Renal Transplantation Center “A. Vercellone”, Division of Nephrology Dialysis and Transplantation, Department of Medical Sciences, Hospital, University of Turin, Turin, Italy

Received Date: 19 October 2022

Accepted Date: 22 October 2022

Published Date: 25 October 2022

Citation: Martelli LM, Di Vico MC, Fava A, De Ferrari GM, Gallo E, et al. (2022) Resolution of Uremic Pericarditis after Living Donor Kidney Transplantation: A Case Report. Ann Case Report. 7: 1005. DOI: https://doi.org/10.29011/2574-7754.101005

Abstract

Introduction: End-stage renal disease (ESRD) is a relevant metabolic cause for the onset of pericarditis and pericardial effusion. Uremic pericarditis has different therapeutic perspectives such as intensification of dialysis sessions, non-steroidal anti-inflammatory drugs, and corticosteroids (Systemic or Intrapericardial) or Pericardiocentesis. In patients with pericardial effusion and severe renal impairment colchicine, is contraindicated. Kidney transplantation is the treatment of choice for kidney failure and living donor kidney transplantation represents the best option in terms of graft function and longevity. Case Presentation: A 45-years-old Caucasian man with ESRD secondary to IgA glomerulonephritis, starting dialysis treatment in 2011. First kidney transplant in 07/04/2015. Following gradual worsening of kidney function. The echocardiographic checks were accompanied by a gradual increase in pericardial effusion, probably on uremic basis. Patient was admitted and started dialysis sessions and Pericardiocentesis, but the cardiac effusion reappeared. He underwent a living donor renal transplantation with good kidney function and at eight days following an echocardiogram was performed which showed the total disappearance of the effusion. Discussion: Our case appears to be the first report in literature of total and rapid resolution of uremic pericarditis with refractory pericardial effusion after living donor kidney transplantation, suggesting that the occurrence of uremic pericarditis should not delay transplantation when a living donor is available.

Keywords: Kidney transplantation; Living donor; Uremic pericarditis

© by the Authors & Gavin Publishers. This is an Open Access Journal Article Published Under Attribution-Share Alike CC BY-SA: Creative Commons Attribution-Share Alike 4.0 International License. With this license, readers can share, distribute, download, even commercially, as long as the original source is properly cited. Read More.

Annals of Case Reports

slot gacor mudah maxwinagen judi bola resmimahjong ways pola jitu maxwinpola gacor starlight princessslot server kambojarahasia scatter hitam mahjong waysturbo spin slot mahjongrtp slot candy villagepola gacor mahjong wins terbaruslot server luar terbarurtp slot olympusslot mahjong waysrtp sweet bonanzaagen sbobet euro 2024judi bola parlay sbobetslot gates of olympus jepe maxwinrtp slot gacorslot starlight christmas pragmaticslot server filipinaslot deposit danaslot mahjong wins banjir scatterpola gacor mahjong maxwinjackpot naga hitam slot mahjong winsrumus slot mahjongrahasia scatter hitam slot mahjongdemo mahjong mudah menangrtp pg softrumus sbobet mix parlay