The problem of follow-up of renal transplant patients in the tropics.
A 40-year-old male Nigerian with end-stage renal disease (ESRD) received a renal allograft from a live related donor, in the United Kingdom in 1986. Subsequently, in Nigeria, he developed recurrent episodes suggestive of chronic allograft rejection or allograft nephritis which necessitated hospitalisation in our establishment. He subsequently died during one such episode. The peculiar management problems and challenges posed by the patient during his recent admission in our clinical setting are discussed.
Ajayi
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Department of Medicine, Obafemi Awolowo University, Ile-Ife, Nigeria.
Akinsola
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Ajayi
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Sanusi
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D000328:Adult; D000359:Aftercare / Q000379:methods / Q000592:standards*; D003906:Developing Countries; D006084:Graft Rejection; D006801:Humans; D007165:Immunosuppression Therapy / Q000379:methods; D016030:Kidney Transplantation; D008297:Male; D009549:Nigeria; D011183:Postoperative Complications / Q000517:prevention & control*; D012008:Recurrence