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Medical Cases: renal transplantation, tetanus - Case Study Example

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The medical cases presented here deal with two different, separate topics: kidney transplantation and tetanus. In the first case, special attention is paid to the issue of immunosuppression after transplantation, as well as to the consequences of patient non-compliance with lifestyle recommendations after transplantation. In the second case, the tetanus clinic is described…
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Medical Cases: renal transplantation, tetanus
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Download file to see previous pages The chance of a cadaver transplant continuing to work one year after the transplant is about 85% and 50% at five years.” There is cause for concern when such patients develop other complications depending upon their genetic predisposition, immune status, and lifestyle. Patients with diabetes and cardiovascular disorders are more likely to succumb in such circumstances.
The use of corticosteroids like prednisone for immunosuppression during organ transplants is normal practice as otherwise there is a great risk of the donor/cadaver-organ being rejected by the host’s immune system. According to Halloran Philip (NEJM, 2004), immunosuppressive agents are used for intense action during the first phase of allograph implants and then at a lowered dose for maintenance. In renal transplantation, it is all the more necessary as the kidney has to play a pivotal role in human physiology, and without it, the person has to be hooked onto a dialysis system. A compromise has to be made in patients of end-stage renal failure and undergoing a transplant to administer such immunosuppressive agents. However, the immunosuppression exposes the patient to other risks and dangers which sometimes cannot be avoided as the patient has to go on with his normal profession and daily chores after attaining some semblance of a healthy status. This particular patient has been administered prednisone and other immunosuppressive drugs and as is obvious from the facts provided, resumed his normal life as a farmer after undergoing a successful renal transplant. His compliance/non-compliance to a suggested lifestyle due to his susceptible medical status after the transplant as well as any recommended medications at home are not available in the facts of the case study provided. It is therefore logical to infer that he has not followed a protected lifestyle after the procedure. As an immunocompromised person, the patient is thus a prime case for opportunistic infections.
Eight years of post-operation, the patient is again presented at the hospital with a history of respiratory distress which although cited as moderate appears to be more grievous as the patient can speak only with a great effort on his part.  ...Download file to see next pagesRead More
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