LAUSR

Introduction: Renal transplantation remains to be the preferred treatment for end-stage renal disease. Since then, post-transplant complications have been identified. Transplant renal artery stenosis (TRAS), defined as narrowing of the transplanted renal artery, is one of the most serious vascular complications post kidney transplantation. TRAS presents as hypertension and allograft dysfunction at 3 to 12 months after transplantation. Unique to this case is the early presentation with behavior changes and cardiac arrhythmia. No report of such presentation has been published as of this writing, especially in a third world setting. Case Presentation: This is a case of a 28-year-old filipino male patient with post kidney transplantation one month prior to admission. Donor and recipient matching revealed low immunologic risk for rejection with four human leukocyte antigen matched. Allograft harvesting and transplantation were unremarkable.