Korean J Transplant.  2019 Sep;33(3):60-64. 10.4285/jkstn.2019.33.3.60.

Kidney transplantation in human immunodeficiency virus-infected patients: a report of two cases and a review of the literatures

Affiliations
  • 1Department of General Surgery, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea.
  • 2Department of Internal Medicine, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea. kidney@jbnu.ac.kr

Abstract

Human immunodeficiency virus (HIV) infection was traditionally considered an absolute contraindication for transplantation because of concerns about HIV disease progression due to immunosuppression. Since potent antiretroviral therapies (ARTs) have become widely available, the prognosis of HIV-infected kidney transplant recipients has dramatically improved. Recent results of prospective multicenter trials on kidney transplantation (KT) in HIV-positive candidates have demonstrated the success and challenges of transplantation in this population. Several studies have reported comparable patient and graft outcomes between HIV-infected and HIV-uninfected recipients after KT in the era of potent combined ARTs. We report two cases of HIV-infected patients who underwent KT at our hospital. In this paper, we present a detailed report of two cases and provide a short review of the existing literature.

Keyword

Human immunodeficiency virus; Kidney transplantation

MeSH Terms

Disease Progression
HIV
Humans*
Immunosuppression
Kidney Transplantation*
Kidney*
Multicenter Studies as Topic
Prognosis
Prospective Studies
Transplant Recipients
Transplants

Figure

  • Fig. 1 Clinical course in case 1. HAART, highly active antiretroviral therapy; Tx, therapy; MMF, mycophenolate mofetil.

  • Fig. 2 Clinical course in case 2. HAART, highly active antiretroviral therapy; Tx, therapy; MMF, mycophenolate mofetil.


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