CASE 56 (October 2010)

Clinical information

The patient is a 40-year-old woman with unknowed cause of end-stage renal disease. She started hemodialysis and was cadaveric kidney transplanted after 4 months in waiting list. Cold ischemia time: 17 hours. Mismatches: 5, they shared only a DR.

She presented delayed graft function and oliguria: 500 mL/day. She had not systemic symptoms; there was not fever.

A renal biopsy was undertaken on the 6th post-transplantation day.

See the images of the biopsy.

Figure 1. H&E, X100.

Figure 2. H&E, X400.

Figure 3. H&E, X400.

Figure 4. H&E, X400.

Figure 5. H&E, X400.

Figure 6. Masson's trichrome stain, X400.

Figure 7. Masson's trichrome stain, X400.

Figure 8. Masson's trichrome stain, X400.

Figure 9. Methenamine-silver stain, X400

Figure 10. Masson's trichrome stain, X400.

Figure 11. Immunohistochemistry for C4d, polyclonal antibody, paraffin-embedded tissue, X400.

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