RENAL-TRANSPLANTATION ONE WEEK AFTER CONCEPTION

A successful 38-week pregnancy is reported following renal transplanta tion approximately 1 week after conception. The patient was treated wi th quadruple sequential induction therapy, maintenance immunosuppressi on, and routine posttransplantation care, including ganciclovir treatm ent for a symptomatic cytomegalovirus infection during the pregnancy a nd 3 months after delivery. No decline in renal function was noted. Th e mother and child remain healthy at 18 months. This case demonstrates the ability of renal transplant patients to maintain renal function t hroughout pregnancy and the lack of deleterious effects upon the child during gestation and at up to 18 months after birth, despite signific ant immunosuppression, including antithymocyte globulin induction ther apy, and infectious complications of the mother's renal transplantatio n.