Case Presentation: A 71-year-old patient with a past medical history of hypertension, insulin-dependent type two diabetes mellitus with peripheral neuropathy, and deceased donor kidney transplant two years prior (CMV D-/R+ & EBV D+/R+) presented with a complaint of acute onset dark urine, and progressively worsening nausea, vomiting, and intermittent diarrhea. His immunosuppressive regimen consisted of [...]

Case Presentation: A 63-year-old male with a past medical history of end-stage renal disease status post living-related kidney transplant three years ago presented with dyspnea and joint pain. His immunosuppressive regimen included mycophenolate mofetil, prednisone, and belatacept, which was switched to everolimus due to concern for synovitis at outpatient rheumatology one month prior when he [...]

Case Presentation: A 65-year-old male presented to the emergency department with a 5-week history of epigastric pain, nausea, constipation and weight loss. Past medical history was significant for combined liver and kidney transplant 3 years prior due to hepatitis C cirrhosis and hepatorenal syndrome. Chronic immunosuppression consisted of mycophenolate mofetil, tacrolimus and prednisone. Laboratory studies [...]

Case Presentation: A 48-year-old man with end-stage renal disease due to IgA nephropathy underwent a deceased donor kidney transplant in 2008, which resulted in graft failure. A second transplant in 2019 required additional thymoglobulin due to high panel reactive antibodies and was complicated by BK nephritis, treated with leflunomide. Since treatment, he had persistent leukopenia, [...]