Oft forgotten cause of diarrhea in a posttransplant setting
Chronic diarrhoea following a renal transplant is a common clinical manifestation. A large number of possible aetiologies complicate the diagnosis. Invasive testing is frequently conducted in patients with persistent or intractable diarrhoea. We discuss the case of a kidney transplant recipient who...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Transplantation |
| Subjects: | |
| Online Access: | http://www.ijtonline.in/article.asp?issn=2212-0017;year=2023;volume=17;issue=4;spage=465;epage=466;aulast=Aggarwal |
| Summary: | Chronic diarrhoea following a renal transplant is a common clinical manifestation. A large number of possible aetiologies complicate the diagnosis. Invasive testing is frequently conducted in patients with persistent or intractable diarrhoea. We discuss the case of a kidney transplant recipient who developed persistent diarrhoea with a 10-kg weight loss in a 3-week period. The patient was diagnosed with a Cryptosporidium parvum infection after stool screening for atypical organisms. Cryptosporidium has emerged as one of the most prevalent causes of infectious diarrhoea in post-renal transplant settings, particularly in endemic places such as India. The patient responded well to oral nitazoxanide. Post-renal transplant patients are in an immunocompromised state and are at significantly higher risk for getting infection-associated diarrhoea, so an approach for early stool screening for atypical organisms is advised. |
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| ISSN: | 2212-0017 2212-0025 |