Saudi Journal of Kidney Diseases and Transplantation

CASE REPORT
Year
: 2014  |  Volume : 25  |  Issue : 3  |  Page : 605--609

Can patients with schizophrenia undergo renal transplantation with success?


Saoussen Bouhlel 
 Psychiatrist, Teaching at the Faculty of Medicine, Tunis and Psychiatric Hospital of Manouba, Tunisia

Correspondence Address:
Dr. Saoussen Bouhlel
Aziza Othmana Hôpital Psychiatrique, Razi La Mannouba 2010
Tunisia

We report a case of a 41-year-old man suffering from paranoid schizophrenia. The patient has been consulting in our psychiatric hospital since he was 29 years old. Eight years later, he developed kidney failure and required peritoneal dialysis. After more than two years, the nephrology team indicated a renal transplantation and his brother suggested giving his kidney. There were no obstacles for transplantation in the immune and histological compatibilities; the psychiatric staff decided to check the patient«SQ»s compliance with medication. The patient was compliant to all his medications and to the salt-free diet after the transplant operation. Few weeks later, he developed steroid-induced diabetes. Through the last two years, he had psychotic exacerbations with major anxiety and fear of losing the transplant. These relapses were managed by increasing doses of antipsychotics without need for hospitalization. At the present time, three years after transplantation, the nephrologists are decreasing the immunosuppressive agents and the steroids. The renal function is optimum and the diabetes is stabilized. This case exemplifies the potential for schizophrenic patients to undergo renal transplantation and to comply with follow-up medical care through a close cooperation between the patient«SQ»s family, the psychiatric staff and the nephrology team.


How to cite this article:
Bouhlel S. Can patients with schizophrenia undergo renal transplantation with success?.Saudi J Kidney Dis Transpl 2014;25:605-609


How to cite this URL:
Bouhlel S. Can patients with schizophrenia undergo renal transplantation with success?. Saudi J Kidney Dis Transpl [serial online] 2014 [cited 2021 Nov 29 ];25:605-609
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2014;volume=25;issue=3;spage=605;epage=609;aulast=Bouhlel;type=0