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    "textoCompleto" => "<p class="elsevierStylePara">Dear Editor&#58;</p><p class="elsevierStylePara">Guillain-Barr&#233; syndrome &#40;GBS&#41;&#44; or acute inflammatory demyelinating polyneuropathy &#40;AIDP&#41; is a severe pathology&#44; often fulminating&#44; which in more than two thirds of cases presents as an antecedent infection usually caused by a virus &#40;cytomegalovirus &#91;CMV&#93; or Epstein-Barr virus&#41;&#46; We present the case of a 48 year old male&#44; recipient of a renal transplant in January 2007&#59; D&#47;R CMV serology positive&#59; immunosuppression with steroids&#44; mycophenolate and tacrolimus&#59; delayed graft function during initial progress but good subsequent progress &#40;creatinine on discharge&#44; 1&#46;5mg&#47;dL&#41;&#46;</p><p class="elsevierStylePara"><p class="elsevierStylePara">During evolution&#44; the patient presented with an acute Banff grade IIB cellular rejection&#44; treated with thymoglobulin&#44; which caused an allergic reaction&#44; and bicytopenia&#46; Treatment was withdrawn&#44; but renal function improved&#46; Four days after receiving thymoglobulin the patient presented with arthromyalgias and febricula&#44; rapidly progressing to weakness of the lower extremities and 4&#47;5 paresis in all four extremities&#44; and severe dysphonia and dysphagia&#46; He remained afebrile and without respiratory compromise&#46; Laboratory tests showed a deterioration of renal function with 2&#46;5mg&#47;dL creatinine&#46; Supplementary tests&#58; cranial CT showed no alterations&#46; Negative cultures&#46; CRP for CMV negative&#46; EMG&#58; alterations compatible with acute motor demyelinating polyneuropathy&#46; On assessment by Neurology&#44; the patient was diagnosed as having symptoms compatible with GBS&#44; starting treatment with polyclonal immunoglobulin IV at a dose of 2g&#47;kg and high doses of steroids&#46; The symptomatology disappeared 24 hours after treatment&#44; although a slight motor deficit persisted for several weeks&#46; Renal function on discharge&#58; Cr&#58; 1&#46;7mg&#47;dL</p><span class="elsevierStyleBold"><p class="elsevierStylePara">Discussion</p></span><p class="elsevierStylePara">In an immunodepressed population&#44; it is logical that the most frequently reported issue has been CMV2-4&#46; Immunosuppression in itself constitutes an alteration of immunological equilibrium&#46; This alteration&#44; in keeping T suppressor lymphocytes inhibited&#44; allows lymphocyte clones which are capable of generating an autoaggressive response to remain free&#46; No habitual risk factor associated with the development of this entity was found in our patient&#46; Circumstances exist in which abnormal circulating proteins have been associated with neuropathy &#40;Waldenstr&#246;m&#8217;s disease&#44; multiple myeloma&#44; POEMS syndrome&#41;&#46; It is possible that the administration of thymoglobulin causes a condition similar to dysproteinemia&#44; through the formation of immune complexes &#40;serum sickness&#41;&#46; T cells and neurons possess similar glycolipids in the membrane&#44; with the associated chalcogens against GBS GM1&#46; We have found only one reference<span class="elsevierStyleSup">5</span> in the literature to a possible relationship with antilymphocyte polyclonal antibodies&#46; In this instance&#44; the temporal ratio and the symptoms displayed by the patient on administering the ATG&#44; as well as an absence of other causes&#44; cause us to think that there is a possible association between thymoglobulin treatment and subsequent AIDP&#44; possibly related to serum sickness&#46;</p></p>"
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                  "referenciaCompleta" => "Bouza-Pineiro P, Pego R, Alonso A, De la Fuente R, Martul EV. Guillain-Barré síndrome after renal transplantation: a case of clinical success with intravenous immunoglobulin therapy. Nephron 1996;74(1):223-4. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8883048" target="_blank">[Pubmed]</a>"
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                0 => array:3 [
                  "referenciaCompleta" => "Lloveras JJ, Larrue V, Delisle MB, Tack I, Icart J, et al. Guillain-Barré syndrome associated with cytomegalovirus infection after kidney transplantation. Presse Med 1994;23(21):476-8."
                  "contribucion" => array:1 [
                    0 => null
                  ]
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                    0 => null
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                  "referenciaCompleta" => "Cartwright MS, Moore PS, Donofrio PD, Iskandar SS, Stratta RJ. Acute Sensory Neuropathy Associated with Rabbit Antithymocyte Globulin. American Journal of Transplantation 2007;7:484-6. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17283492" target="_blank">[Pubmed]</a>"
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Treatment with thymoglobulin as the cause of acute demyelinating polyneuropathy in a renal transplant patient
Tratamiento con timoglobulina como causante de polineuropatía desmielinizante aguda en un trasplantado renal.
Antonio Romeroa, Eugenia Solaa, Verónica Lópeza, Cristina Gutiérreza, Mercedes Cabelloa, Miguel González-Molinaa, Dolores Burgosa, Domingo Hernándeza
a Servicio de Nefrología, Hospital Regional Universitario Carlos Haya, Málaga Málaga España,
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                  "referenciaCompleta" => "Lloveras JJ, Larrue V, Delisle MB, Tack I, Icart J, et al. Guillain-Barré syndrome associated with cytomegalovirus infection after kidney transplantation. Presse Med 1994;23(21):476-8."
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Article information
ISSN: 20132514
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2020 January 52 20 72
2019 December 36 20 56
2019 November 37 11 48
2019 October 19 9 28
2019 September 37 14 51
2019 August 16 12 28
2019 July 26 19 45
2019 June 33 8 41
2019 May 17 9 26
2019 April 55 42 97
2019 March 21 26 47
2019 February 14 18 32
2019 January 25 14 39
2018 December 51 23 74
2018 November 43 9 52
2018 October 42 12 54
2018 September 38 13 51
2018 August 24 9 33
2018 July 35 16 51
2018 June 30 11 41
2018 May 36 14 50
2018 April 33 6 39
2018 March 30 13 43
2018 February 36 6 42
2018 January 21 7 28
2017 December 36 5 41
2017 November 26 5 31
2017 October 33 5 38
2017 September 35 9 44
2017 August 27 6 33
2017 July 26 7 33
2017 June 29 5 34
2017 May 29 7 36
2017 April 30 6 36
2017 March 17 4 21
2017 February 31 6 37
2017 January 14 5 19
2016 December 37 1 38
2016 November 35 8 43
2016 October 38 10 48
2016 September 74 6 80
2016 August 113 4 117
2016 July 147 6 153
2016 June 84 0 84
2016 May 89 0 89
2016 April 53 0 53
2016 March 52 0 52
2016 February 54 0 54
2016 January 74 0 74
2015 December 111 0 111
2015 November 60 0 60
2015 October 61 0 61
2015 September 60 0 60
2015 August 66 0 66
2015 July 46 0 46
2015 June 31 0 31
2015 May 39 0 39
2015 April 5 0 5
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Idiomas
Nefrología (English Edition)