Acute Tubular Necrosis

Am a second time transplant recipient since 5 years..first lasted for 17 years.

Currently I got the A cute tubular necrosis since january and creatinine got increased to 2.6 and stagnated there.. Transplant team advises that no line of treatment available and has to settle on it own

.have anyone encounter the same.. Any alternative. 

Please suggest

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  • The ATN is more common in first few weeks among transplanted patients from deceased donors.
    It may also occur if the kidney cells are damaged by a poison or harmful substance
    It is a tubular injury?
    It is caused by Acute Antibody mediated Rejection ?? not sure
    Have you done Biopsy?

  • Hello Narmahda,

    ATN may be caused by a lack of oxygen and blood flow to the kidneys or a reaction to a toxin or a harmful substance (more likely.) The initial treatments may include diuretics such as Lasix, Bumetazol, or others to flush out the harmful substances. This can take from 1 to 3 weeks. Hopefully, this is your case.  Blood creatinine should drift back to normal. If not, the next stage would be a biopsy of the kidney.  As always, your Tx surgeon or nephrologist can advise you more accurately. Good luck!

    Acute Tubular Necrosis: Symptoms, Causes, Treatments
    Acute tubular necrosis can damage the kidneys by causing a lack of oxygen and blood flow. The condition can be treated and reversed in otherwise hea…
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