Report of increased creatinine with more than one etiology in a kidney transplanted disease

Kidney transplant patients should be regularly visited to prevent complications.
A 42-year old female, who had received a kidney transplant 4 months previously, was admitted to hospital due to increased creatinine of up to 3.5 mg/dl. She was first treated for a urinary infection, resulting in a decrease of creatinine level. Then a decreasing immunosuppressive dose was given, due to a BK positive result. A creatinine level increase resulted, and acute cellular rejection was reported in a kidney biopsy. Next methyl prednisolone was administered, and finally, creatinine level became normal.