Non-typhoid Salmonella septicemia and visceral leishmaniasis in a renal transplant patient.

Autor:	Hussein MM; Department of Nephrology and Dialysis, Al Hada Armed Forces Hospital, Taif, Saudi Arabia., Mooij JM, Roujouleh HM, Hamour OA, Felemban H
Jazyk:	angličtina
Zdroj:	Transplantation [Transplantation] 2001 Feb 15; Vol. 71 (3), pp. 479-81.
DOI:	10.1097/00007890-200102150-00024
Abstrakt:	Background: We report on a renal transplant patient with recurrent attacks of fever, in which Salmonella septicemia as well as visceral leishmaniasis were diagnosed. Patient: The patient was a 62-year-old man with diabetic nephropathy and a living related kidney transplantation. Results: Nearly 2 years after the transplantation, the patient developed recurrent attacks of fever, which were initially diagnosed as non-typhoid salmonellosis and improved after treatment. Three months later, he had relapses of fever. As the patient developed pancytopenia, a bone marrow aspiration was done, showing Leishmania parasites. The patient responded well to treatment with sodium stibogluconate. Conclusions: A high index of suspicion, together with better diagnostic assays to detect visceral leishmaniasis, is warranted in the diagnostic work-up of any fever of unknown origin in immunocompromised patients, especially in endemic areas.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu