Patient: .My husband had a kidney transplant about 5 weeks ago. We were
monitoring his fever, which was 99, so called the transplant team and went to
get some blood work and urine test. His creatinine level rose from 1.5 to 2.6.
He has no symptoms whatsoever. He is going for a biopsy today. It sounds like
acute rejection. What should we do now? He had been doing well all along. He is
taking Cellcept and Repamune. Will these medicines change? What can I expect, we
are devastated because he was doing so well?
Expert: it is a pleasant thing for me to answer your questions. As you may
have guessed, there are a lot of reasons that are responsible for the increase
of creatinine in the patients after kidney transplant. Among the various
reasons, kidney rejection and infection are the most common reasons.
As you may know, renal biopsy could really determine whether the elevation of
creatinine is caused by the rejection or by the infections as well as its
harming degrees. If it is caused by the rejection, then strong anti-rejection
medicines could be used; while, if it testifies that it is induced by the
infection, then medicines could be focusing on the anti-infection drugs.
May this will help you. More questions are welcomed to consult us