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A 51-year-old female with a past medical history of end-stage kidney disease secondary to diabetes mellitus was admitted 1-month postdeceased-donor kidney transplantation, on tacrolimus, mycophe-nolatemofetil(MMF),andprednisone,forwounddehiscenceandinfec- tion. She was treated by… Click to show full abstract
A 51-year-old female with a past medical history of end-stage kidney disease secondary to diabetes mellitus was admitted 1-month postdeceased-donor kidney transplantation, on tacrolimus, mycophe-nolatemofetil(MMF),andprednisone,forwounddehiscenceandinfec- tion. She was treated by wound debridement, minimizing immunosup-pression, and antibiotics tailored to wound culture, which grew Klebsiella Pneumonia . Two weeks later she was readmitted for altered men-tal status. Vital signs were unremarkable except for a respiratory rate 33 breaths/min, and oxygen saturation 87% on 6 liters nasal cannula. Physical exam revealed a wound vac leaking foul-smelling serosan-guinous drainage. Labs showed white blood cell count 24 k/ul (nor-mal 3.7–11 k/ul),
Journal Title: Transplant Infectious Disease
Year Published: 2022
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