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At Manipal Hospital Varthur Road, Dr. Garima Aggarwal, Consultant–Nephrologist and Renal Transplant Physician, and a team of eminent doctors thoroughly assessed Ms. Afshan’s case, diagnosed her suffering from both Hepatitis B and Hepatitis C-infections, which are dangerous and can cause liver failure and promptly initiated therapies for her hepatitis infections. These infections in addition with kidney failure make kidney transplant very challenging
Expert’s Comments – Dr. Garima Agarwal says “Nowadays it is rare to see Hepatitis B or Hepatitis C in patients undergoing long-term dialysis treatment, because of improved hygiene and infection control practices. Even more rare and dangerous to have co infection with both the viruses Multiple needle pricks, repeated dialysis sessions and lack of strict adherence to infection control practices probably lead to the patient acquiring both the infections. In the past having hepatitis was considered contraindication for going ahead with kidney transplant”
Doctors at Manipal Hospital Varthur Road realized that it would be difficult for Ms. Afshan to survive in her dire situation unless she received a kidney transplant. They found a donor in Ms. Afshan’s brother, but unfortunately, the blood groups did not match. However, the undeterred team of experts embarked on the complex path of an ABO-incompatible kidney transplant in a dual hepatitis positive patient.
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Although ABO incompatible kidney transplant was an answer for Ms. Afshan’s condition, there were considerable risks owing to her existing health complications, particularly given Aisha’s existing hepatitis infections. With tailored treatment and medical expertise of Dr. Aggarwal and the team, unwavering support from the family, and Ms. Afshan’s resilience, the treatment was successful and with each passing day, Ms. Afshan gained strength and vitality.
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Expert’s comments – Dr. Garima Agarwal says, “Ms. Afshan’s road to recovery, normalized kidney function, treated hepatitis infections, and restored quality of life is a testimony to the transformative power of specialized multidisciplinary medical care and organ transplantation and a reminder that even in the face of adversity, hope prevails, illuminating the path to healing and recovery.” She also adds that ABO-incompatible kidney transplants increase the availability of potential donors for patients who would otherwise have to wait for a compatible match, adding new hopes to kidney transplants. However, the procedure carries risks and needs careful monitoring and management throughout the transplant process.