title: West Nile meningo-encephalitis infection in a kidney transplant recipient.
abstract: West Nile virus is an arbovirus known to cause meningo-encephalitis in immuno-competent as well as in immunocompromised patients. Herein, we describe a kidney transplant recipient in whom meningo-encephalitis infection was caused by the West Nile virus. The clinical presentation was fever, headache, photophobia, confusion, neck stiffness, and positive Kerning test. The patient was treated with IV acyclovir, cefuroxime, ampicillin, and fluids. During hospital stay, the patient did not experience any episode of allograft rejection. Fever resolved and at follow up he was doing well. West Nile virus infection should be considered in immunocompromised patients including transplant recipients with meningo-encephalitis, especially during epidemic outbreaks.
authors.affiliation: Kidney Transplant Unit-Department of Nephrology, Rambam Medical Center, Haifa 31096, Israel.
authors.forename: Z
authors.initials: Z
authors.lastname: Armali
authors.forename: R
authors.initials: R
authors.lastname: Ramadan
authors.forename: A
authors.initials: A
authors.lastname: Chlebowski
authors.forename: Z S
authors.initials: ZS
authors.lastname: Azzam
mesh_terms: D000328:Adult; D004196:Disease Outbreaks; D006801:Humans; D016867:Immunocompromised Host; D007557:Israel; D016030:Kidney Transplantation / Q000276:immunology*; D008297:Male; D011183:Postoperative Complications / Q000821:virology*; D014901:West Nile Fever / Q000175:diagnosis* / Q000453:epidemiology