Shrirang Bichu

Bombay Hospital & Medical Research Centre · Department of Nephrology

Background The outcome of kidney transplantation is determined by multiple factors and infections represent one of the major factors affecting graft and patient survival. Recent COVID-19 pandemic have adversely affected the transplant population. Very little data is available on post-transplant infections and patient survival from India. Materials...

INTRODUCTION Erectile dysfunction (ED) is the inability to maintain sufficient penile erection for satisfactory sexual performance, [1] affecting almost 50% of men in the 40-70 years age range in the general population. Improved life expectancy with the advancements in hemodialysis (HD) has initiated to shift our focus toward improvement of the qua...

Tuberculosis is endemic in India, with a prevalence of 8%–13% in kidney transplant patients. Atypical presentations have been described in immunocompromised individuals, and we present an unusual and rare case of isolated tuberculous involvement of the kidney allograft presenting 6 years posttransplant. Our patient presented with fever, poor appeti...

Context: Glycemic variability plays a major role in the development as well as the progression of cardiovascular disease in diabetes. Aims: We compared the mean plasma glucose and glycemic variability (GV) parameters on and off hemodialysis (HD) in patients with End-Stage Diabetic Nephropathy (ESDN) and End-Stage Renal Disease (ESRD). Settings...

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has caused significant global disruption, especially for chronic care like hemodialysis treatments. Approximately 10,000 end-stage kidney disease (ESKD) patients are receiving maintenance hemodialysis (MHD) at 174 dialysis centers in Greater Mumbai. Because of the fear of transmission...

Introduction: There are several studies of symptomatic hemodialysis patients with proven COVID-19 infection. However, there is paucity of data on asymptomatic COVID-19 infection in the outpatient hemodialysis population. The true prevalence and transmission of this infection in hemodialysis centres is unknown. This study was conducted across hemod...

Background: Chronic aluminum toxicity (CAT) in end stage kidney disease (ESKD) patients is now a rare clinical disorder, unlike in the past, because of improvements in hemodialysis water purification systems and discontinuation of use of aluminum hydroxide as a phosphate binder. The use of aluminum utensils for cooking could be an unrecognised cau...

Objective: To study the magnitude of the complication of catheter associated right atrial thrombus (CRAT) in patients with tunnelled central venous hemodialysis catheters (THC) for maintenance hemodialysis (MHD). Material and methods: A retrospective study was conducted among patients with end stage kidney disease (ESKD) with THC for MHD who had...

BACKGROUND Increasing deceased donor kidney donation is the only answer to fill the large gap between availability and need for organ donors. Deceased donor kidney transplant rates are picking up in the Southern and Western regions of India and there is a need to look at the outcomes at various institutes and share the experience. The objective of...

BACKGROUND Delay in post-operative abdominal drain removal due to excessive lymphorrhoea can lead to prolonged hospital stay and increase in risk of infections in patients with kidney transplant. This study was designed to evaluate outcomes and cost effectiveness of early drain removal in renal transplant recipients with significant lymphorrhoea. M...

Aim: To merge the deceased donor (DD) and the paired kidney exchange (PKE) allocation processes, creating a fusion model. Materials and Methods: One of the DD kidneys are allocated to the first patient on the DD wait-list and the other kidney is allocated to the PKE registry to initiate a chain of swap transplants. The last donor of this PKE chain...

Significant hypophosphatemia is commonly due to Vitamin D deficiency. Any sporadic onset of hypophosphatemia in adults warrants workup to identify alternate causes. Hypophosphatemia may also be the only manifestation of an occult malignancy. A high index of clinical suspicion can help diagnose such conditions in early stages. Prompt treatment of th...

With the evaluation and approval of newer oral anticoagulants such as the factor IIa inhibitor, dabigatran etexilate and the factor Xa inhibitors, rivaroxaban and apixaban, strategies for stroke prevention in atrial fibrillation need a thorough re-evaluation of current options. Clinicians are naturally excited about the imminent introduction of the...

Herpes zoster is not an uncommon complication of solid organ transplantation. But disseminated zoster remains an unusual presentation in the renal transplant patients 1,2 . 34 cases had been reported till the year 2000 worldwide [2], but no Indian data is available. Depressed cell mediated immunity is responsible for the dissemination of the diseas...