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A 24-Year-Old Female Transplant Recipient with Type 2 Membranoproliferative Glomerulonephritis and Disseminated Shingles: A Cautionary Tale of Deferring to Primary Care
- Source :
- Case Reports in Nephrology, Case Reports in Nephrology, Vol 2021 (2021)
- Publication Year :
- 2021
- Publisher :
- Hindawi, 2021.
-
Abstract
- In this report, the case of a 24-year-old Caucasian female with type 2 membranoproliferative glomerulonephritis status-post living donor kidney transplant managed on triple regimen immunosuppressive therapy who developed shingles is discussed. With its onset, she promptly reached out to her nephrologist who deferred her to primary care. Prior to seeing her primary provider, she developed disseminated herpes zoster. She consulted emergency services where she was given inadequate care and again deferred to primary care. One day later, the dissemination included her entire torso, face, oral cavity, and all extremities. Fortunately, the patient had the insight to again reach out to her nephrologist who arranged for her to be admitted for appropriate care 6 days after her initial inquiry that carried 6 days of zoster progression. This case demonstrates how it is pertinent that specialists recognize potentially lethal complications associated with the conditions they follow. Although convenient to defer to primary care, if specialists were to take on the responsibility of providing a broader scope of care for their unique subsets of patients, it would likely result in a reduction in the 80% of serious medical errors that occur as a result of miscommunication, or lack thereof, between care providers.
- Subjects :
- Nephrology
medicine.medical_specialty
business.industry
Transplant recipient
030232 urology & nephrology
Case Report
Primary care
medicine.disease
Diseases of the genitourinary system. Urology
03 medical and health sciences
Regimen
0302 clinical medicine
Internal medicine
Membranoproliferative glomerulonephritis
medicine
Disseminated herpes zoster
030212 general & internal medicine
RC870-923
Intensive care medicine
business
All extremities
Shingles
Subjects
Details
- Language :
- English
- ISSN :
- 2090665X and 20906641
- Volume :
- 2021
- Database :
- OpenAIRE
- Journal :
- Case Reports in Nephrology
- Accession number :
- edsair.doi.dedup.....85321c8b8e0351f91befd00e4ea84cba