Dengue fever in renal allograft recipients: Clinical course and outcome
| Autor: | Sandeep Mahajan, Dipankar Bhowmik, Soumita Bagchi, Raj Kumar Yadav, Yogesh K. Chhabra, Arunkumar Subbiah, Sanjay K. Agarwal |
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| Rok vydání: | 2017 |
| Předmět: |
myalgia
Adult Male medicine.medical_specialty medicine.medical_treatment 030231 tropical medicine Population 030232 urology & nephrology Kidney Dengue fever Disease Outbreaks Dengue 03 medical and health sciences chemistry.chemical_compound Young Adult 0302 clinical medicine Internal medicine Medicine Humans Transplantation Homologous Severe Dengue education Retrospective Studies Immunosuppression Therapy Transplantation Creatinine education.field_of_study business.industry Retrospective cohort study Immunosuppression Leukopenia medicine.disease Kidney Transplantation Transplant Recipients Infectious Diseases Platelet transfusion chemistry Transaminitis medicine.symptom business |
| Zdroj: | Transplant infectious disease : an official journal of the Transplantation Society. 20(3) |
| ISSN: | 1399-3062 |
| Popis: | BACKGROUND There are annual outbreaks of dengue infection in tropical and subtropical countries. This retrospective study aimed to assess the clinical manifestation of dengue and outcome in renal transplant recipients. METHODS Renal transplant recipients diagnosed with dengue in the nephrology department during the outbreak from August 2015 to December 2015 were included in the study. RESULTS Twenty patients developed dengue presenting during the outbreak. Mean age was 31.9 ± 8.8 years and all were males. Two patients had severe dengue (dengue hemorrhagic fever, dengue shock syndrome). Clinical presentation included febrile illness (95%), myalgia (65%), headache (30%), retro-orbital pain (10%), and mucocutaneous bleeding manifestations (10%). Three (15%) had third space fluid accumulation and 2 (10%) had hypotension. Ninety percent patients had thrombocytopenia, with 4 requiring platelet transfusion. Leucopenia (WBC |
| Databáze: | OpenAIRE |
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