WCN25-2740 A DOUBLE WHAMMY – A CHALLENGING CASE OF POST-RENAL TRANSPLANT THROMBOTIC MICRO-ANGIOPATHY AND A RARE SUBCUTANEOUS FUNGAL INFECTION

respiratory tract infection,surgical site infection,CMV viremia or any other infection.On comparing the kidney transplant recipients receiving dynamic Grafalon dosage according to ALC count to historical data of KTP receiving standard Grafalon dosage,there was no statistical difference in the rate of infection and rejection (P value>0.1).The study further showed that KTR with dynamic induction dosage had 21.75% reduction in mean Grafalon dose with reduction in mean cost of Grafalon by 21.71% ,compared to historical KTR.Conclusions: The present study focuses on the use of Absolute lymphocyte count a simple bedside tool in determining the dosage of induction agent in kidney transplant recipients.Reduced dosage of induction agent decreases the risk of infections and also reduces the cost of kidney transplant.Our study has limitations in terms of sample size and short duration of followup .Further studies in larger number of patients with longer duration of followup are needed to evaluate the risk of infections as well rejections in patients the value of absolute lymphocyte count in determining the dosage of induction agent in KTR.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.