Dialysis Patient is Placed on Antibiotics Despite Known Allergy

This case involves a 65-year-old woman with acute renal failure who underwent a kidney transplant. Prior to the transplant, the patient used a peritoneal dialysis catheter. She contracted pneumonia 6 months prior to the operation and was placed on antibiotics, but had a negative reaction to it. She reported the use of the antibiotic and her reaction to the ER physicians. Following the surgery, she was prescribed an antibiotic. However, she soon started to experience pain at the site of the transplant and fatigue. It was found that the nephrologist was never notified of her history with the antibiotic and she was prescribed the same one which put the transplanted kidney in jeopardy.

Question(s) For Expert Witness

  • 1. Do you routinely treat patients like the one described above?
  • 2. Have you ever published or lectured on this subject / issue?

Expert Witness Response E-044519

I routinely treat kidney transplant patients and have authored over 150 articles and abstracts and have presented extensively on the subject.

Expert Witness Response E-045085

I am a nephrologist who has several renal transplant patients. I regularly teach residents and fellows, and have lectured on acute interstitial nephritis, which is one of the common problems associated with the antibiotic use.


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