Successful kidney transplant to HIV+ patient is Maharashtra’s first
An HIV positive patient has successfully undergone a live kidney transplant donated by his 77-year-old father in what doctors said was Maharashtra’s first HIV live recipient getting donor transplant of its kind.Updated: Mar 15, 2019 02:58 IST
Hindustan Times, Pune
An HIV positive patient has successfully undergone a live kidney transplant donated by his 77-year-old father in what doctors said was Maharashtra’s first HIV live recipient getting donor transplant of its kind. On Thursday, the recipient and the donor completed 100 days of the transplant and were reported stable without any medical complication. The transplant was carried out at the Hadapsar-based Noble Hospital in December 2018.
The 40-year-old recipient was detected HIV+ status 10 years ago. He had been waiting for a kidney match since 2017, but finally found a donor in his father, a former central government employee. Doctors said that he is certainly among the oldest donors in Pune.
The father-son duo is avid cyclists and joggers. After finding out his status of being an HIV positive, the man slipped into depression and trauma. While that took a toll on his mental health, it was also discovered that he had an end-stage kidney disease. Seeing his immuno-compromised state, doctors suggested a kidney transplant to save his life. However, fearing stigma, he chose not to register with the local body and waited for a live donor match.
While that didn’t materialise, it was only in November 2018 that the man’s father insisted on donating one of his kidneys and took up the necessary tests. The procedure was carried out in December 2018 and was successful with both father and son keeping good health. The 77-year-old donor said he never remembered going to a hospital and did not suffer from any disease. He attributed his fitness to his daily cycling and jogging.
Dr Avinash Ignatius, senior nephrologist and transplant physician, Noble Hospital, said this was a challenging case due to the HIV status of the recipient.
“HIV positive renal transplant cases are not touched fearing stigma and infection. Secondly, these patients are not even allowed to undergo dialysis, again due to the fear of passing on the infection to other patients. Such patients do not have high chances of survival and often die due to lack of an organ and treatment. In this case, we took the chance and decided to use an ‘old’ kidney for the recipient, which we found to be a perfect match.”
The fact that the donor was above 70 years of age was an additional challenge. Dr Abhay Sadre, founder, Pune Nephrology Society and member of the International Society of Nephrology said, “This makes an interesting case and indeed is Maharashtra’s first such HIV positive case to face a live kidney transplant.”
He observed that HIV positive patients suffering from kidney diseases are often shunned and face stigma. The successful transplant has brought hope for people living with HIV, he said. Dr Abhay Huprikar, head, Zonal Transplant Coordination Committee, Pune, observed that while HIV positive cases have undergone live kidney transplant abroad, this is not common in India. “This is exceptional and is a proud moment,” he said.
First Published: Mar 15, 2019 02:58 IST