Persistent anemia in a kidney transplant recipient with parvovirus B19 infection
| Autor: | Wasim A Siddiqi, Abbas Pakkyara, Jalila Mohsin, Arundhati P Kurkulasurya, Amitabh Jha, Nasser Al Rahbi, Issa Al Salmi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Blood transfusion Anemia viruses medicine.medical_treatment lcsh:Medicine 030230 surgery Gastroenterology 03 medical and health sciences 0302 clinical medicine hemic and lymphatic diseases Internal medicine medicine 030212 general & internal medicine Kidney transplantation biology business.industry Parvovirus lcsh:R virus diseases General Medicine medicine.disease biology.organism_classification Tacrolimus medicine.anatomical_structure Erythropoietin Prednisolone Bone marrow business medicine.drug |
| Zdroj: | Saudi Journal of Kidney Diseases and Transplantation, Vol 28, Iss 6, Pp 1447-1450 (2017) |
| ISSN: | 1319-2442 |
| DOI: | 10.4103/1319-2442.220846 |
| Popis: | Anemia after kidney transplant is not uncommon. This paper reports a case of unexplained anemia in a kidney transplant recipient that persisted for more than two months, and that did not respond to recombinant human erythropoietin treatment but was successfully treated after diagnosing Parvovirus B19 (ParvoV B19) infection. A middle-aged male underwent living-unrelated kidney transplantation from Pakistan in April 2015. He was on triple immuno-suppression therapy consisting of prednisolone, tacrolimus, and mycophenolate mofetil. He presented with anemia which persisted for more than two months that did not improve with Darbepoetin alpha and required blood transfusions. A bone marrow biopsy demonstrated pure erythroid hypoplasia and occasional giant pronormoblasts characteristic of a ParvoV B19 infection. The serum was highly positive for ParvoV B19 DNA polymerase chain reaction. The anemia resolved completely three weeks after the administration of intravenous immunoglobulin. ParvoV B19 infection should be considered in the differential diagnosis of kidney transplant recipients who present with anemia associated with a low reticulocyte count. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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