Brian J. Nankivell is a nephrologist based in Sydney, NSW, Australia. He looks after people who have kidney problems, from ongoing kidney disease through to more urgent issues that need close monitoring.
In many cases, patients he sees live with conditions like chronic kidney disease and polycystic kidney disease. He also helps with kidney inflammation issues, including glomerulonephritis, and problems linked to blood vessel inflammation such as vasculitis. When kidneys are affected during serious illness, he can be part of the care for things like sepsis, too.
Some people come in because they are managing infections, including urinary tract infections (UTIs). Others need support around more complex health situations, such as acute tubular necrosis. And for people dealing with transplant care, he works with teams involved in kidney transplant and pancreas transplant follow-up.
There are also rarer conditions in the mix. For example, adenine phosphoribosyltransferase deficiency can affect the kidneys, and it may show up as ongoing kidney trouble over time. He also treats conditions where the kidney can be affected as part of wider illness, such as rare cancers like rhabdomyosarcoma.
At times, care may involve looking after the effects of unusual infections, including Pneumocystis jiroveci pneumonia, depending on a person’s health history. It can be a lot to take in, so having someone who can help explain what is going on and what the next steps are matters.
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If you’re trying to understand kidney symptoms, test results, or what might be happening with your kidneys, Brian’s role as a nephrologist is to help guide the plan and support ongoing care.