Open Access Journal of Clinical Nephrology Case Report Equine Anti-Thymocyte Globulin (ATGAM) administration in patient ISSN 2576-9529 with previous rabbit Anti-Thymocyte Globulin (Thymoglobulin) induced serum sickness: A case report 1 2 3 *Address for Correspondence: Joseph B Pryor, Joseph B Pryor *, Ali J Olyaei , Joseph B Lockridge and Douglas J MD Candidate, Oregon Health and Science 4 Norman University, School of Medicine, Portland, Email: 1
[email protected] MD Candidate, Oregon Health and Science University, School of Medicine, Portland 2Professor of Medicine & Pharmacotherapy, Pharmacy Practice/ Nephrology & Hypertension, Submitted: 08 March 2018 Oregon State University/Oregon Health & Science University, Portland Approved: 22 March 2018 3 Published: 23 March 2018 Assistant Professor of Medicine & Medical Director, Division of Nephrology, Department of Medicine, Oregon Health and Science University and Portland VA Medical Center, Portland Copyright: 2018 Pryor JB. et al. This is 4Professor of Medicine & Director, Immunogenetics Laboratory, Division of Nephrology, Department an open access article distributed under the Creative Commons Attribution License, which of Medicine, Oregon Health and Science University and Portland VA Medical Center, Portland permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Keywords: Thymoglobulin; ATGAM; Serum sickness; Kidney transplantation Thymoglobulin is a rabbit-derived anti-thymocyte antibody directed at T-cells and commonly used for induction immunosuppression therapy in solid organ transplantation, especially in immunologically high risk kidney transplant recipients. Despite its frequent use and effi cacy, the heterologous makeup of thymoglobulin can induce the immune system resulting in serum sickness which typically presents with rash, fever, fatigue, and poly-arthralgia in the weeks following drug exposure.