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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Diarrhea, Red Rashes On Back And Stomach, Taken Lacteol Forte, Had Kidney Transplant, Has Elevated Serum Creatinine, Is Equivocal For CMV IGm. Advice?

my husband has been a kidney transplant patient two years ago , recently he is suffering from severe diarrhea which improved after lacteol forte but new red rashes appear on his back and stomach, he is equivocal for CMV IGm and currently elevated serum creatinine level 1.92 , any advice since am not able to reach his doctor now
Tue, 19 Jun 2012
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Nephrologist,  's  Response
Hi,
CMV at this stage of Transplant is less likely since immunosuppression is at minimum at this stage ( assuming it was reduced to minimum dosages). Besides, CMV IgM is not a good test to detect CMV infection after the transplant. Granted that, it is a good test before the transplant.
Would suggest to see Gastro-enterologist at the same hospital as your Nephrologist.
The rise in creatinine could be because of dehydration which can be confirmed on clinical exam only and once confirmed, should improve with intravenous fluid infusions.
Regards
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Severe Diarrhea, Red Rashes On Back And Stomach, Taken Lacteol Forte, Had Kidney Transplant, Has Elevated Serum Creatinine, Is Equivocal For CMV IGm. Advice?

Hi, CMV at this stage of Transplant is less likely since immunosuppression is at minimum at this stage ( assuming it was reduced to minimum dosages). Besides, CMV IgM is not a good test to detect CMV infection after the transplant. Granted that, it is a good test before the transplant. Would suggest to see Gastro-enterologist at the same hospital as your Nephrologist. The rise in creatinine could be because of dehydration which can be confirmed on clinical exam only and once confirmed, should improve with intravenous fluid infusions. Regards