Fever, mental impairment, acute anemia, and renal failure in patient undergoing orthotopic liver transplantation: posttransplantation malaria.
A case of post-transplant malaria is described. The patient presented fever and severe anemia after orthotopic liver transplantation. Diagnosis was made only after the review of donor characteristics. Although a high parasitemia was found at the moment of diagnosis, the treatment with quinine and doxycycline was successful. Donor epidemiology should always be considered for a prompt diagnosis of rare tropical diseases in the graft recipients.
Department of Infectious Diseases, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
Francesco
F
Menichetti
Maria Lucia
ML
Bindi
Carlo
C
Tascini
Lucio
L
Urbani
Gianni
G
Biancofiore
Roberta
R
Doria
Massimo
M
Esposito
Roberto
R
Mozzo
Gabriele
G
Catalano
Franco
F
Filipponi
D058186:Acute Kidney Injury / Q000209:etiology*; D000740:Anemia / Q000209:etiology; D000962:Antimalarials / Q000627:therapeutic use; D005334:Fever; D006801:Humans; D017114:Liver Failure, Acute / Q000601:surgery*; D016778:Malaria, Falciparum / Q000175:diagnosis* / Q000209:etiology* / Q000635:transmission; D008297:Male; D001523:Mental Disorders / Q000209:etiology; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000469:parasitology; D014019:Tissue Donors; D016896:Treatment Outcome
D000962:Antimalarials