A
66 year old female with a past medical history of end stage renal disease
presumed secondary to diabetic nephropathy (no kidney biopsy performed), who underwent
hemodialysis for 3 years, presented
for cadaveric renal transplant.
Her
past surgical history was remarkable for failed arteriovenous fistula,
appendectomy, and tonsillectomy. Her prior known sensitizing events included a
prior pregnancy, one miscarriage, remote blood transfusion, but no previous
transplants.
Her
relevant family history included diabetes, hypertension, with no known family
history of HUS or thrombotic thrombocytopenic purpura (TTP).
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