![](/images/graphics-bg.png)
Temporal Change in Blood Group after Bone Marrow Transplant: A Case of Successful ABO-Incompatible Deceased Donor Transplant
Joint Authors
Lam, Susanna
Hultin, Sebastian
Preston, John
Campbell, Scott
Source
Case Reports in Transplantation
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
ABO-incompatible kidney transplantation has been successfully utilised in a deceased donor and living donor kidney transplantation to improve organ utilisation and decrease waiting times.
We describe a case of a successful, unanticipated ABO-incompatible donation after cardiac death (DCD) kidney transplant in a patient who had a previous ABOi haematopoietic stem cell transplant (HSCT) and had reverted to his original blood group B, after matching as a blood group A recipient with a blood group A donor.
The recipient was unsensitized with a cPRA which was 0% and no donor-specific antibodies and zero HLA mismatch.
An urgent anti-A titre was 1 : 2.
Given the low antibody titres, we proceeded to transplantation.
The patient developed delayed graft function and required dialysis on postoperative day 1 and day 2.
The creatinine fell spontaneously on day 5, with progressively increased urine output and stable graft function on discharge at day 6.
Anti-A titres were 1 : 1 on serial postoperative measurements.
There were no rejection episodes, and the patient has a functioning graft at 16 months posttransplant.
We describe a rare case in which the blood group can change after stem cell transplant and should be checked.
We also demonstrate that a DCD ABOi transplant in the context of low anti-A titres for a patient with previous ABOi stem cell transplant can be performed successfully with standard immunosuppression.
American Psychological Association (APA)
Lam, Susanna& Hultin, Sebastian& Preston, John& Campbell, Scott. 2020. Temporal Change in Blood Group after Bone Marrow Transplant: A Case of Successful ABO-Incompatible Deceased Donor Transplant. Case Reports in Transplantation،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151696
Modern Language Association (MLA)
Lam, Susanna…[et al.]. Temporal Change in Blood Group after Bone Marrow Transplant: A Case of Successful ABO-Incompatible Deceased Donor Transplant. Case Reports in Transplantation No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1151696
American Medical Association (AMA)
Lam, Susanna& Hultin, Sebastian& Preston, John& Campbell, Scott. Temporal Change in Blood Group after Bone Marrow Transplant: A Case of Successful ABO-Incompatible Deceased Donor Transplant. Case Reports in Transplantation. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151696
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151696