Medical complications after live donor kidney transplantation: An experience from tertiary care hospital of south Punjab, Pakistan.


  • Raheel Khan Bahawalpur Victoria Hospital, Bahawalpur.
  • Suhail Iqbal Malik Bahawalpur Victoria Hospital & QAMC, Bahawalpur.
  • Shoaib Manzoor Shahida Islam Medical & Dental College, Lodhran.
  • Qazi Masroor Ali Ava Serene Hospital, Bahawalpur.
  • Junaid Sarwar Bahawalpur Victoria Hospital, Bahawalpur.
  • Muhammad Tahir Riaz Bahawalpur Victoria Hospital, Bahawalpur.



Anemia, Polycythemia, Renal Transplantation, Sepsis


Objective: To determine the frequency of medical complications after renal transplantation in recipients. Study Design: Prospective Cohort study. Setting: Nephrology Unit, Bahawal Victoria Hospital, Bahawalpur. Period: December 2018 to March 2022. Material & Methods: All patients undergoing renal transplant during the study period were included. Patients unwilling to be part of this study or losing follow-ups were excluded. At the time of enrollment, all patients underwent pre-transplant work-up and routine investigations. Baseline characteristics of renal transplant recipients and donors were noted while frequency of post renal transplant medical complications was also noted. Results: In a total of 39 renal transplant recipients, 32 (82.1%) were male while the mean age was 30.31±7.21 years. Mean duration of dialysis before transplantation was 6.81±5.15 months (ranging between 0-24 months). Mean age of the live donors was 35.90±9.36 years. Mean duration of follow up was 26.15±11.62 months. Renal graft dysfunction was reported in 10 (25.6%) patients. Most common medical complications reported in post-transplantation period were sepsis 19 (48.7%), anemia 19(48.7%), secondary polycythemia 10 (25.6%), CMV infection 4 (10.3%) and new onset diabetes mellitus 3 (7.7%). Mortality was reported in 2 (5.1%) renal transplant recipients and the cause of mortality in both those patients was sepsis. Conclusion:  Medical complications are common after renal transplantation. Sepsis being more common in 1st6-months post-transplant period. Early recognition and management of these complications is essential for decreasing mortality and morbidity of patients.

Author Biographies

Raheel Khan, Bahawalpur Victoria Hospital, Bahawalpur.

MBBS, FCPS (Medicine), Senior Registrar Medicine, 

Suhail Iqbal Malik, Bahawalpur Victoria Hospital & QAMC, Bahawalpur.

MBBS, FCPS (Medicine), FCPS (Nephrology), Associate Professor of Nephrology, 

Shoaib Manzoor, Shahida Islam Medical & Dental College, Lodhran.

MBBS, FCPS (Nephrology), Assistant Professor of Nephrology, 

Qazi Masroor Ali, Ava Serene Hospital, Bahawalpur.

MBBS, FCPS (Medicine), Professor Medicine, 

Junaid Sarwar, Bahawalpur Victoria Hospital, Bahawalpur.

MBBS, PGR Nephrology, 

Muhammad Tahir Riaz, Bahawalpur Victoria Hospital, Bahawalpur.

MBBS, PGR Nephrology,