was read the article
array:21 [ "pii" => "X2013251410036034" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2010.Mar.10340" "estado" => "S300" "fechaPublicacion" => "2010-03-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2010;30:260-1" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 5018 "formatos" => array:3 [ "EPUB" => 300 "HTML" => 4138 "PDF" => 580 ] ] "Traduccion" => array:1 [ "es" => array:17 [ "pii" => "X0211699510036037" "issn" => "02116995" "doi" => "10.3265/Nefrologia.pre2010.Mar.10340" "estado" => "S300" "fechaPublicacion" => "2010-03-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia. 2010;30:260-1" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 7374 "formatos" => array:3 [ "EPUB" => 284 "HTML" => 6518 "PDF" => 572 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Síndrome de Guillain-Barré en trasplante renal" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "260" "paginaFinal" => "261" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Guillain-Barré syndrome in kidney transplant" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Teresa García Álvarez, A. García Herrera, A. Mazuecos Blanca, C. Lancho Novillo" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Teresa" "apellidos" => "García Álvarez" ] 1 => array:2 [ "Iniciales" => "A." "apellidos" => "García Herrera" ] 2 => array:2 [ "Iniciales" => "A." "apellidos" => "Mazuecos Blanca" ] 3 => array:2 [ "Iniciales" => "C." "apellidos" => "Lancho Novillo" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "X2013251410036034" "doi" => "10.3265/Nefrologia.pre2010.Mar.10340" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410036034?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510036037?idApp=UINPBA000064" "url" => "/02116995/0000003000000002/v0_201502091329/X0211699510036037/v0_201502091332/es/main.assets" ] ] "itemSiguiente" => array:17 [ "pii" => "X2013251410036026" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2010.Mar.10341" "estado" => "S300" "fechaPublicacion" => "2010-03-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2010;30:261-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4510 "formatos" => array:3 [ "EPUB" => 307 "HTML" => 3681 "PDF" => 522 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Effect of kidney transplant on ventricular dysfunction in a patient on haemodialysis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "261" "paginaFinal" => "262" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Efecto del trasplante renal en la disfunción ventricular de un paciente en hemodiálisis" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "10341108_a21_f1.jpg" "Alto" => 502 "Ancho" => 710 "Tamanyo" => 48453 ] ] "descripcion" => array:1 [ "en" => "Two-dimensional echo (A and B), apical two-chamber view, showing the evolution of the different cavities in size and volume. In the Doppler images below (C and D), we observe that mitral regurgitation practically disappears after the kidney transplant is" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.A. Quintanar Lartundo, Gema Fernández Fresnedo, B. Ruiz Delgado, M. Arias" "autores" => array:4 [ 0 => array:2 [ "Iniciales" => "J.A." "apellidos" => "Quintanar Lartundo" ] 1 => array:2 [ "nombre" => "Gema" "apellidos" => "Fernández Fresnedo" ] 2 => array:2 [ "Iniciales" => "B." "apellidos" => "Ruiz Delgado" ] 3 => array:2 [ "Iniciales" => "M." "apellidos" => "Arias" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699510036029" "doi" => "10.3265/Nefrologia.pre2010.Mar.10341" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510036029?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410036026?idApp=UINPBA000064" "url" => "/20132514/0000003000000002/v0_201502091606/X2013251410036026/v0_201502091606/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "X2013251410036042" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2010.Mar.10339" "estado" => "S300" "fechaPublicacion" => "2010-03-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2010;30:259-60" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3700 "formatos" => array:3 [ "EPUB" => 291 "HTML" => 2874 "PDF" => 535 ] ] "en" => array:9 [ "idiomaDefecto" => true "titulo" => "Pulmonary toxicity associated with sirolimus following kidney transplantation: computed tomography findings" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "259" "paginaFinal" => "260" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "10339_18030_2321_es_figure1a.jpg" "Alto" => 451 "Ancho" => 314 "Tamanyo" => 69128 ] ] "descripcion" => array:1 [ "en" => "High-resolution CT at the level of the lower lobes (A) (obtained at the time of clinical presentation when respiratory symptoms were evident) demonstrates areas of non-homogeneous air space consolidation in the lower lobes, and mild ground-glass opacities" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "T. Davaus Gasparetto, Edson Marchiori, P. Menezes, G. Zanetti" "autores" => array:4 [ 0 => array:2 [ "Iniciales" => "T." "apellidos" => "Davaus Gasparetto" ] 1 => array:2 [ "nombre" => "Edson" "apellidos" => "Marchiori" ] 2 => array:2 [ "Iniciales" => "P." "apellidos" => "Menezes" ] 3 => array:2 [ "Iniciales" => "G." "apellidos" => "Zanetti" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "X0211699510036045" "doi" => "10.3265/Nefrologia.pre2010.Mar.10339" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699510036045?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410036042?idApp=UINPBA000064" "url" => "/20132514/0000003000000002/v0_201502091606/X2013251410036042/v0_201502091606/en/main.assets" ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Guillain-Barré syndrome in kidney transplant" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "260" "paginaFinal" => "261" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Teresa García Álvarez, A. García Herrera, A. Mazuecos Blanca, C. Lancho Novillo" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Teresa" "apellidos" => "García Álvarez" "email" => array:1 [ 0 => "teresa_garcia_alvarez@yahoo.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 1 => array:3 [ "Iniciales" => "A." "apellidos" => "García Herrera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 2 => array:3 [ "Iniciales" => "A." "apellidos" => "Mazuecos Blanca" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 3 => array:3 [ "Iniciales" => "C." "apellidos" => "Lancho Novillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital Puerta del Mar Cádiz, España, " "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de Guillain-Barré en trasplante renal" ] ] "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Dear Editor, </span></p><p class="elsevierStylePara">Guillain-Barré syndrome (GBS) is the most frequent cause of acute polyneuropathy in adults. It manifests with progressive symmetrical motor weakness in the limbs and areflexia. Its most severe complication is acute respiratory failure, which has a mortality rate of 15 to 30% if it requires mechanical ventilation. It may be associated with respiratory or gastrointestinal infection (cytomegalovirus [CMV], <span class="elsevierStyleItalic">Campylobacter yeyuni</span>) in two thirds of all cases.<span class="elsevierStyleSup">1,2 </span>It has been described in bone marrow transplants, but it is very rare in solid organ transplants.<span class="elsevierStyleSup">3 </span>It has also been associated with neurotoxicity caused by calcineurin inhibitors.<span class="elsevierStyleSup">4</span>We present two cases of GBS in patients undergoing kidney transplants. The first case is that of a woman who underwent a kidney transplant at age 22 with chronic renal failure (CRF) secondary to neurogenic bladder. She received steroids, tacrolimus and mycophenolate mofetil in addition to a prophylactic treatment against CMV, hyperimmune gamma-globulin (recipient IgG negative/donor IgG positive). Evolution of renal function was excellent. Five weeks after the transplant, the patient became ill with CMV (severe leucopoenia, hypertransaminasaemia, gastritis, AgP65 positive). She received intravenous gancyclovir during 15 days and made satisfactory progress. She was readmitted three weeks later due to progressive, symmetrical weakness of the lower limbs, paraesthesia and dysphagia, and in the next few hours she developed acute respiratory failure requiring mechanical ventilation. The second case is that of a 62 year old man with unexplained chronic renal failure who underwent renal transplantation. He was treated with steroids, tacrolimus and mycophenolate mofetil. His renal function progressed very well. However, 2.5 months after the transplant he was admitted for severe paralysis of the lower limbs which quickly progressed to tetraparesis. His AgP65 was checked and found positive, and he was treated with IV gancyclovir during 18 days. He did not require mechanical ventilation, but did need prolonged physical therapy. In both patients, the cerebrospinal fluid (CSF) and the electromyography offered a diagnosis of GBS (demyelinising sensory-motor polyneuropathy; CSF at normal pressure, proteins elevated, without pleocytosis). The first patient received four cycles of plasmapheresis and five doses of hyperimmune gammaglobulin (0.4g/kg/day) and the second, five doses of hyperimmune gamma-globulin (0.4g/kg/day). The first transplant patient underwent a full recovery and was extubated after seven days. After eight years of follow-up, she remains asymptomatic and has no neurological consequences. Six months after the event, the second patient has experienced neurological improvements, but he continues to have lower limb paresis and is still in physical therapy. Tacrolimus levels were normal at all times in both cases. Tacrolimus was replaced with everolimus in the second patient, but there were no changes in his slow neurological progress. GBS in solid organ transplants is a very rare condition, despite the fact that CMV infections are common, and it may put the patient’s life at risk. Very few cases have been described in the literature, and most are in men.<span class="elsevierStyleSup">5 </span>In our patients, the CMV infection was the probable main trigger for the condition, considering its proximity in time. Early diagnosis is important so as to begin common neurological treatment for all forms of GBS, and treat the cause where applicable, as soon as possible.     </p>" "pdfFichero" => "P1-E47-S1884-A10340-EN.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "El-Sabrout RA, Radovancevis B, Ankoma- Sey V, Van Buren C. Guillain-Barré syndrome after solid organ transplantation. Transplantation 2001;71:1311-6. <a href="http://www.ncbi.nlm.nih.gov/pubmed/11397969" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Maccario M, Tarantino A, Nobile-Orazio E, Ponticelli C. Campylobacter jejuni bacteriemia and Guillain-Barré syndrome in a renal transplant recipient. Transpl Int 1998;11:439-42. <a href="http://www.ncbi.nlm.nih.gov/pubmed/9870273" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Ponticelli C, Campise MR. Neurological complications in kidney transplant recipients. J Nephrol 2005;18:521-8. <a href="http://www.ncbi.nlm.nih.gov/pubmed/16299677" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Palmer BF, Toto RD. Severe neurologic toxicity induced by cyclosporine A in three renal transplant patients. Am J Kidney Dis 1989;13:161-72." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Bulsara KR, Baron PW, Tuttle-Nwehall JE, Clavien PA, Morgenlander J. Guillain-Barré syndrome in organ and bone marrow transplant patients. Transplantation 2001;71:1169-83." "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000003000000002/v0_201502091606/X2013251410036034/v0_201502091606/en/main.assets" "Apartado" => array:4 [ "identificador" => "35438" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor - Brief papers about basic research or clinical experiences" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003000000002/v0_201502091606/X2013251410036034/v0_201502091606/en/P1-E47-S1884-A10340-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251410036034?idApp=UINPBA000064" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 November | 6 | 5 | 11 |
2024 October | 53 | 29 | 82 |
2024 September | 55 | 25 | 80 |
2024 August | 75 | 56 | 131 |
2024 July | 48 | 23 | 71 |
2024 June | 67 | 39 | 106 |
2024 May | 62 | 40 | 102 |
2024 April | 72 | 43 | 115 |
2024 March | 48 | 30 | 78 |
2024 February | 78 | 42 | 120 |
2024 January | 54 | 30 | 84 |
2023 December | 46 | 31 | 77 |
2023 November | 57 | 34 | 91 |
2023 October | 67 | 29 | 96 |
2023 September | 74 | 35 | 109 |
2023 August | 49 | 27 | 76 |
2023 July | 59 | 35 | 94 |
2023 June | 47 | 33 | 80 |
2023 May | 47 | 35 | 82 |
2023 April | 35 | 26 | 61 |
2023 March | 41 | 19 | 60 |
2023 February | 60 | 28 | 88 |
2023 January | 57 | 28 | 85 |
2022 December | 53 | 36 | 89 |
2022 November | 55 | 42 | 97 |
2022 October | 53 | 49 | 102 |
2022 September | 43 | 37 | 80 |
2022 August | 50 | 49 | 99 |
2022 July | 37 | 52 | 89 |
2022 June | 49 | 56 | 105 |
2022 May | 58 | 41 | 99 |
2022 April | 55 | 56 | 111 |
2022 March | 80 | 47 | 127 |
2022 February | 54 | 49 | 103 |
2022 January | 64 | 34 | 98 |
2021 December | 54 | 42 | 96 |
2021 November | 63 | 35 | 98 |
2021 October | 108 | 41 | 149 |
2021 September | 53 | 34 | 87 |
2021 August | 60 | 58 | 118 |
2021 July | 52 | 32 | 84 |
2021 June | 39 | 28 | 67 |
2021 May | 120 | 32 | 152 |
2021 April | 168 | 99 | 267 |
2021 March | 99 | 26 | 125 |
2021 February | 77 | 13 | 90 |
2021 January | 72 | 27 | 99 |
2020 December | 64 | 14 | 78 |
2020 November | 56 | 15 | 71 |
2020 October | 44 | 10 | 54 |
2020 September | 44 | 11 | 55 |
2020 August | 52 | 12 | 64 |
2020 July | 44 | 11 | 55 |
2020 June | 56 | 12 | 68 |
2020 May | 66 | 22 | 88 |
2020 April | 43 | 11 | 54 |
2020 March | 44 | 13 | 57 |
2020 February | 51 | 15 | 66 |
2020 January | 74 | 21 | 95 |
2019 December | 73 | 24 | 97 |
2019 November | 83 | 20 | 103 |
2019 October | 53 | 11 | 64 |
2019 September | 59 | 19 | 78 |
2019 August | 50 | 8 | 58 |
2019 July | 46 | 24 | 70 |
2019 June | 59 | 17 | 76 |
2019 May | 79 | 17 | 96 |
2019 April | 90 | 31 | 121 |
2019 March | 54 | 29 | 83 |
2019 February | 50 | 16 | 66 |
2019 January | 57 | 24 | 81 |
2018 December | 126 | 37 | 163 |
2018 November | 118 | 12 | 130 |
2018 October | 109 | 10 | 119 |
2018 September | 86 | 19 | 105 |
2018 August | 74 | 10 | 84 |
2018 July | 51 | 10 | 61 |
2018 June | 81 | 16 | 97 |
2018 May | 54 | 14 | 68 |
2018 April | 83 | 11 | 94 |
2018 March | 70 | 15 | 85 |
2018 February | 48 | 4 | 52 |
2018 January | 60 | 13 | 73 |
2017 December | 55 | 3 | 58 |
2017 November | 60 | 18 | 78 |
2017 October | 54 | 6 | 60 |
2017 September | 45 | 10 | 55 |
2017 August | 41 | 9 | 50 |
2017 July | 28 | 11 | 39 |
2017 June | 42 | 7 | 49 |
2017 May | 41 | 11 | 52 |
2017 April | 38 | 5 | 43 |
2017 March | 38 | 5 | 43 |
2017 February | 36 | 9 | 45 |
2017 January | 29 | 12 | 41 |
2016 December | 55 | 6 | 61 |
2016 November | 45 | 6 | 51 |
2016 October | 91 | 3 | 94 |
2016 September | 143 | 7 | 150 |
2016 August | 222 | 4 | 226 |
2016 July | 164 | 7 | 171 |
2016 June | 107 | 0 | 107 |
2016 May | 121 | 0 | 121 |
2016 April | 57 | 0 | 57 |
2016 March | 62 | 0 | 62 |
2016 February | 72 | 0 | 72 |
2016 January | 93 | 0 | 93 |
2015 December | 108 | 0 | 108 |
2015 November | 87 | 0 | 87 |
2015 October | 80 | 0 | 80 |
2015 September | 85 | 0 | 85 |
2015 August | 88 | 0 | 88 |
2015 July | 54 | 0 | 54 |
2015 June | 35 | 0 | 35 |
2015 May | 42 | 0 | 42 |
2015 April | 5 | 0 | 5 |