Renal transplantation and schistosomiasis mansoni

Eleven patients with schistosomiasis mansoni received a renal transplant. In 5 patients, the schistosomiasis was asymptomatic and had been diagnosed by routine examinations and had no relationship to nephropathy. In 4 patients, the nephropathy was suggestive of being of schistosomal origin. Three of...

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Veröffentlicht in:Transplantation 1987-12, Vol.44 (6), p.795-798
Hauptverfasser: AZEVEDO, L. S, DE PAULA, F. J, IANHEZ, L. E, SALDANHA, L. B, SABBAGA, E
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container_end_page 798
container_issue 6
container_start_page 795
container_title Transplantation
container_volume 44
creator AZEVEDO, L. S
DE PAULA, F. J
IANHEZ, L. E
SALDANHA, L. B
SABBAGA, E
description Eleven patients with schistosomiasis mansoni received a renal transplant. In 5 patients, the schistosomiasis was asymptomatic and had been diagnosed by routine examinations and had no relationship to nephropathy. In 4 patients, the nephropathy was suggestive of being of schistosomal origin. Three of them had symptomatic hepatosplenic schistosomiasis, and histologic studies of original kidneys disclosed chronic glomerulonephritis in 2 and membranous glomerulonephritis in 1 patient. These histologic pictures do not establish definitively the schistosomal origin of nephropathy. The other patient had membranoproliferative glomerulonephritis that recurred in the allograft, but he had intestinal schistosomiasis. This form of the disease is not considered by all as capable of inducing nephropathy. Two patients had the hallmarks of schistosomal nephropathy: hepatosplenic form and membranoproliferative glomerulonephritis. The 1st patient developed nephrotic syndrome 3 years after the transplantation, and an allograft biopsy disclosed membranoproliferative glomerulonephritis. The other patient had an uneventful outcome with good renal function and no proteinuria. An allograft biopsy performed 14 months after the transplant disclosed slight mesangial proliferation with IgM++ and C3++ in the mesangium.
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S ; DE PAULA, F. J ; IANHEZ, L. E ; SALDANHA, L. B ; SABBAGA, E</creator><creatorcontrib>AZEVEDO, L. S ; DE PAULA, F. J ; IANHEZ, L. E ; SALDANHA, L. B ; SABBAGA, E</creatorcontrib><description>Eleven patients with schistosomiasis mansoni received a renal transplant. In 5 patients, the schistosomiasis was asymptomatic and had been diagnosed by routine examinations and had no relationship to nephropathy. In 4 patients, the nephropathy was suggestive of being of schistosomal origin. Three of them had symptomatic hepatosplenic schistosomiasis, and histologic studies of original kidneys disclosed chronic glomerulonephritis in 2 and membranous glomerulonephritis in 1 patient. These histologic pictures do not establish definitively the schistosomal origin of nephropathy. The other patient had membranoproliferative glomerulonephritis that recurred in the allograft, but he had intestinal schistosomiasis. This form of the disease is not considered by all as capable of inducing nephropathy. Two patients had the hallmarks of schistosomal nephropathy: hepatosplenic form and membranoproliferative glomerulonephritis. The 1st patient developed nephrotic syndrome 3 years after the transplantation, and an allograft biopsy disclosed membranoproliferative glomerulonephritis. The other patient had an uneventful outcome with good renal function and no proteinuria. 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Urinary tract diseases ; Nephrotic Syndrome - etiology ; Parasitic diseases ; Recurrence ; Schistosomiases ; Schistosomiasis mansoni - complications ; Schistosomiasis mansoni - immunology ; Splenomegaly - etiology ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system ; Tropical medicine ; Urinary system involvement in other diseases. 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E</creatorcontrib><creatorcontrib>SALDANHA, L. B</creatorcontrib><creatorcontrib>SABBAGA, E</creatorcontrib><title>Renal transplantation and schistosomiasis mansoni</title><title>Transplantation</title><addtitle>Transplantation</addtitle><description>Eleven patients with schistosomiasis mansoni received a renal transplant. In 5 patients, the schistosomiasis was asymptomatic and had been diagnosed by routine examinations and had no relationship to nephropathy. In 4 patients, the nephropathy was suggestive of being of schistosomal origin. Three of them had symptomatic hepatosplenic schistosomiasis, and histologic studies of original kidneys disclosed chronic glomerulonephritis in 2 and membranous glomerulonephritis in 1 patient. These histologic pictures do not establish definitively the schistosomal origin of nephropathy. The other patient had membranoproliferative glomerulonephritis that recurred in the allograft, but he had intestinal schistosomiasis. This form of the disease is not considered by all as capable of inducing nephropathy. Two patients had the hallmarks of schistosomal nephropathy: hepatosplenic form and membranoproliferative glomerulonephritis. The 1st patient developed nephrotic syndrome 3 years after the transplantation, and an allograft biopsy disclosed membranoproliferative glomerulonephritis. The other patient had an uneventful outcome with good renal function and no proteinuria. An allograft biopsy performed 14 months after the transplant disclosed slight mesangial proliferation with IgM++ and C3++ in the mesangium.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Diseases caused by trematodes</subject><subject>Glomerulonephritis - etiology</subject><subject>Glomerulonephritis - therapy</subject><subject>Helminthic diseases</subject><subject>Hepatomegaly - etiology</subject><subject>Humans</subject><subject>Immune Complex Diseases - etiology</subject><subject>Immune Complex Diseases - therapy</subject><subject>Infectious diseases</subject><subject>Kidney Transplantation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nephrotic Syndrome - etiology</subject><subject>Parasitic diseases</subject><subject>Recurrence</subject><subject>Schistosomiases</subject><subject>Schistosomiasis mansoni - complications</subject><subject>Schistosomiasis mansoni - immunology</subject><subject>Splenomegaly - etiology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Tropical medicine</subject><subject>Urinary system involvement in other diseases. 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B ; SABBAGA, E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-e0605e9b2e29719871f9fd4f732b9cc55f935463176a39db5af3bfc38bebe9cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Diseases caused by trematodes</topic><topic>Glomerulonephritis - etiology</topic><topic>Glomerulonephritis - therapy</topic><topic>Helminthic diseases</topic><topic>Hepatomegaly - etiology</topic><topic>Humans</topic><topic>Immune Complex Diseases - etiology</topic><topic>Immune Complex Diseases - therapy</topic><topic>Infectious diseases</topic><topic>Kidney Transplantation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nephrotic Syndrome - etiology</topic><topic>Parasitic diseases</topic><topic>Recurrence</topic><topic>Schistosomiases</topic><topic>Schistosomiasis mansoni - complications</topic><topic>Schistosomiasis mansoni - immunology</topic><topic>Splenomegaly - etiology</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Tropical medicine</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>AZEVEDO, L. S</creatorcontrib><creatorcontrib>DE PAULA, F. J</creatorcontrib><creatorcontrib>IANHEZ, L. E</creatorcontrib><creatorcontrib>SALDANHA, L. 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B</au><au>SABBAGA, E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Renal transplantation and schistosomiasis mansoni</atitle><jtitle>Transplantation</jtitle><addtitle>Transplantation</addtitle><date>1987-12-01</date><risdate>1987</risdate><volume>44</volume><issue>6</issue><spage>795</spage><epage>798</epage><pages>795-798</pages><issn>0041-1337</issn><eissn>1534-6080</eissn><coden>TRPLAU</coden><abstract>Eleven patients with schistosomiasis mansoni received a renal transplant. In 5 patients, the schistosomiasis was asymptomatic and had been diagnosed by routine examinations and had no relationship to nephropathy. In 4 patients, the nephropathy was suggestive of being of schistosomal origin. Three of them had symptomatic hepatosplenic schistosomiasis, and histologic studies of original kidneys disclosed chronic glomerulonephritis in 2 and membranous glomerulonephritis in 1 patient. These histologic pictures do not establish definitively the schistosomal origin of nephropathy. The other patient had membranoproliferative glomerulonephritis that recurred in the allograft, but he had intestinal schistosomiasis. This form of the disease is not considered by all as capable of inducing nephropathy. Two patients had the hallmarks of schistosomal nephropathy: hepatosplenic form and membranoproliferative glomerulonephritis. The 1st patient developed nephrotic syndrome 3 years after the transplantation, and an allograft biopsy disclosed membranoproliferative glomerulonephritis. The other patient had an uneventful outcome with good renal function and no proteinuria. 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subjects Adult
Biological and medical sciences
Diseases caused by trematodes
Glomerulonephritis - etiology
Glomerulonephritis - therapy
Helminthic diseases
Hepatomegaly - etiology
Humans
Immune Complex Diseases - etiology
Immune Complex Diseases - therapy
Infectious diseases
Kidney Transplantation
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Nephrotic Syndrome - etiology
Parasitic diseases
Recurrence
Schistosomiases
Schistosomiasis mansoni - complications
Schistosomiasis mansoni - immunology
Splenomegaly - etiology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Tropical medicine
Urinary system involvement in other diseases. Miscellaneous
title Renal transplantation and schistosomiasis mansoni
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