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Nobi F, Bari A, Begum NAS, Kashem TS, Arefin MSUZ, Nomany S, Rahman M, Akhter N, Yousuf E, Rashid HU. QuantiFERON cytomegalovirus assay for evaluation of CMV reactivity among renal transplant recipient and donor in Bangladesh. Korean Journal of Transplantation 2022. [DOI: 10.4285/atw2022.f-3896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Farnaz Nobi
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Amit Bari
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Nura Afza Salma Begum
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Tasnuva Sarah Kashem
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | | | - Shoeb Nomany
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Mitali Rahman
- Department of Laboratory Medicine, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Niyoti Akhter
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Eshaba Yousuf
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Harun Ur Rashid
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
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Begum NAS, Kashem TS, Nobi F, Akther N, Arefin MSUZ, Sayed A, Hasan S, Alam AKMK, Rashid HU. Basic characteristics of living kidney donors in Bangladesh: a single-center experience. Korean Journal of Transplantation 2022. [DOI: 10.4285/atw2022.f-3840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Nura Afza Salma Begum
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Tasnuva Sarah Kashem
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Farnaz Nobi
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Niyoti Akther
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | | | - Abu Sayed
- Department of Transplantation Surgery, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Sajid Hasan
- Department of Transplantation Surgery, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - A K M Khurshidul Alam
- Department of Transplantation Surgery, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Harun Ur Rashid
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
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Begum NAS, Kashem TS, Nobi F, Arefin SUZ, Rashid HU. Experiences of performing ABO-incompatible kidney transplantation in Bangladesh. Korean J Transplant 2022; 36:111-118. [PMID: 35919197 PMCID: PMC9296974 DOI: 10.4285/kjt.22.0014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 04/27/2022] [Accepted: 04/27/2022] [Indexed: 11/30/2022] Open
Abstract
Background The number of end-stage renal disease (ESRD) patients is increasing in Bangladesh. Currently, living kidney donation is the only viable option for transplantation in Bangladesh, and it is further restricted by ABO compatibility issues. We have performed ABO-incompatible kidney transplantations (ABOi KTs) in Bangladesh since 2018. This study examines our experiences with seven cases of ABOi KT. Methods The desensitization protocol included low-dose rituximab (100 mg/body) followed by plasma exchange (PEX), which was followed by a 5-g dose of intravenous immunoglobulin. Immunosuppression was undertaken using tacrolimus (0.1 mg/kg/day), mycophenolate mofetil (1,500 mg/day), and prednisolone (0.5 mg/kg/day). All patients received basiliximab for induction therapy. Results The median baseline anti-ABO antibody titer was 164 (range, 132–1128). Transplantation was performed at a titer of ≤18. Our patients attended three to five PEX sessions before transplantation. Graft survival was 100% in the seven cases over a mean period of 22 months. The mean creatinine level was 204.6±47.4 µmol/L. Two patients were suspected of having developed acute rejection and received intravenous methylprednisolone, resulting in improved kidney function. One patient required posttransplant hemodialysis due to delayed graft function and subsequently improved. Infection was the most common complication experienced by ABOi KT patients. Two patients developed severe cytomegalovirus pneumonia and died with functioning grafts. Conclusions ABOi KT in Bangladesh will substantially expand the living kidney donor pool and bring hope to a large number of ESRD patients without ABO-compatible donors. However, the high cost and risk of acute rejection and infection remain major concerns.
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Affiliation(s)
- Nura Afza Salma Begum
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Tasnuva Sarah Kashem
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Farnaz Nobi
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Shakib Uz-Zaman Arefin
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Harun Ur Rashid
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
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Rashid HU, Begum NAS, Kashem TS. Mycobacterial infections in solid organ transplant recipients. Korean J Transplant 2021; 35:208-217. [PMID: 35769848 PMCID: PMC9235462 DOI: 10.4285/kjt.21.0033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 12/25/2021] [Indexed: 11/25/2022] Open
Abstract
Mycobacterium tuberculosis (MTB) infection in solid organ transplant (SOT) recipients remains a major challenge for physicians and surgeons. Active tuberculosis (TB) is associated with increased morbidity and mortality in SOT recipients. MTB usually develops after transplantation in a recipient with latent TB infection (LTBI) before transplantation and may also be transmitted from the donor or acquired from the community. Therefore, screening for LTBI in donors and recipients before transplantation is very important in preventing active disease after transplantation. This review article is based on recently published data, case series, and expert recommendations. We reviewed updated information about the epidemiology, diagnosis, and treatment of latent and active TB before and after transplantation. We also reviewed recent treatments for multidrug-resistant TB.
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Affiliation(s)
- Harun Ur Rashid
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Nura Afza Salma Begum
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Tasnuva Sarah Kashem
- Department of Nephrology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
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Begum NAS, Kashem TS, Arefin MSUZ, Alam AKMK, Hasan MS, Sayed A, Mitali EJ, Haque SA, Rashid HU. Experience of starting ABO incompatible kidney transplantation in Bangladesh: report of seven cases. Korean Journal of Transplantation 2021. [DOI: 10.4285/atw2021.op-1067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Nura Afza Salma Begum
- Department of Nephrology and Transplantation, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Tasnuva Sarah Kashem
- Department of Nephrology and Transplantation, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | | | - AKM Khurshidul Alam
- Department of Urology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
| | - Md. Sajid Hasan
- Department of Urology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
| | - Abu Sayed
- Department of Urology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Esrat Jahan Mitali
- Department of Pathology, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | | | - Harun Ur Rashid
- Department of Nephrology and Transplantation, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
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Kashem TS, Begum NAS, Sayed A, Arefin S, Alam K, Amin R, Rashid HU. An unusual and late presentation of urinary leak post-kidney transplantation requiring ureteroureterostomy at the single tertiary center of Bangladesh: a case report. Korean Journal of Transplantation 2021. [DOI: 10.4285/atw2021.or-1196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
| | - NAS Begum
- Department of Nephrology, Kidney Foundation Hospital, Dhaka, Bangladesh
| | - A Sayed
- Department of Nephrology, Kidney Foundation Hospital, Dhaka, Bangladesh
| | - S Arefin
- Department of Nephrology, Kidney Foundation Hospital, Dhaka, Bangladesh
| | - K Alam
- Department of Nephrology, Kidney Foundation Hospital, Dhaka, Bangladesh
| | - R Amin
- Department of Nephrology, Kidney Foundation Hospital, Dhaka, Bangladesh
| | - HU Rashid
- Department of Nephrology, Kidney Foundation Hospital, Dhaka, Bangladesh
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Begum NAS, Kashem TS, Rima FN, Arefin SUZ, Islam K, Rahman R, Rashid HU. COVID-19 infection in kidney transplant recipients: report from two centers of Bangladesh. Korean Journal of Transplantation 2020. [DOI: 10.4285/atw2020.op-1177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Nura Afza Salma Begum
- Department of Nephrology and Transplantation, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Tasnuva Sarah Kashem
- Department of Nephrology and Transplantation, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Farnaz Nobi Rima
- Department of Nephrology and Transplantation, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Shakib Uz-Zaman Arefin
- Department of Nephrology and Transplantation, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
| | - Kamrul Islam
- Department of Nephrology, Urology and Transplantation, Center for Kidney Diseases and Urology, Dhaka, Bangladesh
| | - Rezwanur Rahman
- Department of Nephrology, Urology and Transplantation, Center for Kidney Diseases and Urology, Dhaka, Bangladesh
| | - Harun Ur Rashid
- Department of Nephrology and Transplantation, Kidney Foundation Hospital and Research Institute, Dhaka, Bangladesh
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