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A 29-year-old member asked:

My mother is in the icu with pneumonia and sepsis, and now they are starting dialysis. does that mean she will need a kidney transplant?

5 doctor answers10 doctors weighed in
Dr. Kevin Griffiths
Specializes in Nephrology and Dialysis
Not necessarily: Unfortunately your mother is very ill and i wish her the best. Dialysis is being started now because her kidneys shut down. In this situation, when the pneumonia and sepsis improve, then kidneys will have a chance to recover. Therefore she might not need a renal transplant.
Dr. William Goldsmith
Specializes in Critical Care
Probably not: Most patients who develop acute renal failure from septic shock will regain kidney function if they survive. My concern is that your mother may be developing multisystem organ failure which is a more pressing acute concern.
Dr. Gutti Rao
Hospital-based practice 46 years experience
Not necessarily: It may well be temporary dialysis- it depends how bad the kidneys are damaged, other problems she may have like diabetes etc.
Dr. Sue Ferranti
Internal Medicine 29 years experience
Not necessarily: Sometimes, in the face of sepsis, the kidneys may temporarily fail requiring dialysis. As the sepsis improves, the kidneys may begin functioning again and dialysis may eventually be stopped. Dialysis provides the kidneys with support until this happens. Good luck to your mom!
Dr. Dennis Clifford
A Verified Doctoranswered
A US doctor answeredLearn more
Not necessarily: Acute renal failure can undergo complete recovery in many circumstances. The hard part is waiting for the process of recovery to occur which can take weeks to months. Depending on the other conditions, recovery can sometimes not occur and then permanent dialysis would be required.

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Last updated Feb 8, 2017

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