Immunoadsorption as a Rescue Therapy for Very High Anti-B Titer in ABO-Incompatible Kidney Transplantation

01 August 2025 : Case report Thailand

Unusual clinical course, Challenging differential diagnosis, Unusual setting of medical care

Chanyanuch Rakpithayanon^{ABE 1}, Nattapakorn Mai-on^{E 1}, Sirihatai Konwai

^{E 1,2}, Thunyatorn Wuttiputhanun^{E 1,3}, Natavudh Townamchai

^{E 1,3,4}, Methee Sutherasan^{BE 3,5}, Julin Opanuraks^{BE 6}, Yingyos Avihingsanon

^{E 1,3,4}, Suwasin Udomkarnjananun^{ABCEF 1,3,4*}

DOI: 10.12659/AJCR.948529

Am J Case Rep 2025; 26:e948529

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Table 2 Patient’s data after living donor kidney transplantation.

	IgM	IgG	Urine output (mL/day)	Drain volume (mL/day)	Creatinine (mg/dL)	Tacrolimus C0 (ng/mL)	Procedure

0	2	32	8750	315	4.15	10.5	Kidney transplantation
1	2	16	7740	155	1.41
2	4	16	5350	445	0.7	12.7
3	4	32	2720	290	0.67
4	4	32	2050	610	0.72	7.8
5	4	32	2400	415	0.69
6	4	32	3450	470	0.71
7	4	32	2900	410	0.64	7.0	Off Foley catheter
8	4	32	2700	520	0.64
9	4	32	2300	430	0.60
10	8	32	2250	345	0.60
11	8	32	2800	340	0.59	9.2
12	8	32	2600	236	0.61
13	8	32	2650	239	0.61
14	8	32			0.61	8.6	Discharged from hospital

3	16	16	2105	150	0.62	11.6
4	8	32	1640	90	0.76	9.1
5	8	16	1785	50	0.65	9.0	Flexible cystoscope with double-J stent removal
6	16	32	1900	-	0.72	10.7	Off drain
8	8	32	2525	-	0.77	8.3
10	8	16	1775	-	0.77	6.3
C – pre-dose concentration.

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