NON-TYPHOID Salmonella SEPTICEMIA AND VISCERAL LEISHMANIASIS IN A RENAL TRANSPLANT PATIENT
| Autor: | Roujouleh Hm, Hamour Oa, Hussein Mm, Felemban H, Mooij Jm |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
Transplantation medicine.medical_specialty Sodium stibogluconate business.industry Bacteremia Leishmaniasis Middle Aged medicine.disease Kidney Transplantation Pancytopenia Surgery Visceral leishmaniasis Salmonella Internal medicine Salmonella Infections medicine Humans Leishmaniasis Visceral Fever of unknown origin business Kidney transplantation medicine.drug |
| Zdroj: | Transplantation. 71:479-481 |
| ISSN: | 0041-1337 |
| Popis: | 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: | OpenAIRE |
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