POST CARDIOEMBOLIC STROKE AFTER KIDNEY TRANSPLANTATION: A RARE COMPLICATION AND LOCAL MULTI-DISCIPLINARY MANAGEMENT EXPERIENCE

Abstract

Kidney transplant (KT) remains the definitive renal replacement therapy in patients with end-stage renal disease. Studies have shown that cardiovascular complications are the commonest reasons for increased morbidity and mortality. Cardioembolic stroke in KT patients accounts for about 8%. Other less related central nervous system complications include the use of immunosuppressive agents, post-transplant lymphoproliferative disease (PTLD), and viral infections (CMV). In this index case, we present the experience of our teaching hospital, where a 37-year-old woman developed a rare cause of stroke a year after KT. The cardioembolic stroke was confirmed by echocardiography, MRI brain, haematology and serology tests. The patient was managed by multi-disciplinary specialists with fair clinical responses.