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Transplantation is a small domain, examined at the level a general surgeon needs: recognising the early complications of a transplant, understanding the drugs these patients take, and knowing the principles of organ donation and dialysis access. It covers transplant immunology and rejection, immunosuppressive drugs and their toxicities, organ donation after brain-stem and circulatory death and organ retrieval, kidney, pancreas and liver transplantation, and arteriovenous fistulas, grafts and peritoneal dialysis access.
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A 48-year-old man with a kidney transplant, stable on tacrolimus, mycophenolate mofetil and prednisolone, is treated by his general practitioner for a chest infection. A week later he has a coarse tremor, potassium 6.1 mmol/L and a creatinine that has risen from 110 to 205 µmol/L.
Which antibiotic is most likely to be responsible?
No. It is a small part of the syllabus, examined at the level of the general surgeon who may admit a transplant patient or need to understand their treatment.
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