%0 Journal Article %T Early Conversion from Tacrolimus to Belatacept in a Highly Sensitized Renal Allograft Recipient with Calcineurin Inhibitor-Induced de novo Post-Transplant Hemolytic Uremic Syndrome %A Bonnie E. Lonze %A Ming Wu %A Robert A. Montgomery %A Vasishta S. Tatapudi %J Archive of "Case Reports in Nephrology and Dialysis". %D 2018 %R 10.1159/000486158 %X Kidney transplantation is the first-line therapy for patients with end-stage renal disease since it offers greater long-term survival and improved quality of life when compared to dialysis. The advent of calcineurin inhibitor (CNI)-based maintenance immunosuppression has led to a clinically significant decline in the rate of acute rejection and better short-term graft survival rates. However, these gains have not translated into improvement in long-term graft survival. CNI-related nephrotoxicity and metabolic side effects are thought to be partly responsible for this %K Tacrolimus %K Belatacept %K Hemolytic uremic syndrome %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836164/