Table 3. Treatment and outcome of the patients.
Patient 1 | Patient 2 | Patient 3 | |
---|---|---|---|
Treatment | IVIG infusion, decreased immunosuppression, 3 units PRBC transfusion | IVIG infusion, decreased immunosuppression, 4 units PRBC transfusion | IVIG infusion, decreased immunosuppression, 2 units PRBC transfusion |
Hb posttreatment (g/dL) | 12.1 | 13.1 | 11.5 |
Cr posttreatment (mg/dL) | 1.19 | 1.15 | 1.3 |
Sustained Hb improvement | After 4 wk | After 4 wk | After 12 wk |
Recurrences | No | No | Yes, one recurrence. treated similarly |
Allograft dysfunction | Transient | Transient | No |
Outcome | Anemia resolved, no allograft dysfunction, viral titers decreased on follow-up, patient is still on routine immunosuppression protocol because of his history of acute rejection | Anemia resolved, no allograft dysfunction, viral serology became negative on follow-up. Patient is on a reduced dose of immunosuppression as the infection | Anemia resolved, no allograft dysfunction, viral IgM serology became negative. Patient is on a reduced dose of immunosuppression since the infection |
Abbreviations: Cr, creatinine; Hb, hemoglobin; IgM, immunoglobulin M; IVIG, intravenous immunoglobulin; PRBC, packed red blood cells.