title: West Nile virus encephalitis acquired via liver transplantation and clinical response to intravenous immunoglobulin: case report and review of the literature.
abstract: A patient developed West Nile virus (WNV) encephalitis 2 weeks after receiving a liver transplant and recovered fully, following treatment with intravenous immunoglobulin (IVIg). Laboratory testing documented transmission from the organ donor. Clinicians should be suspicious for organ-transmitted WNV in any post-transplant patient who develops fever and neurological symptoms. We review previous cases of organ-transmitted WNV, the use of IVIg for WNV encephalitis, and the issue of organ donor screening.
authors.affiliation: Department of Internal Medicine, Stanford University School of Medicine, Palo Alto, California, USA.
authors.forename: C
authors.initials: C
authors.lastname: Rhee
authors.forename: E F
authors.initials: EF
authors.lastname: Eaton
authors.forename: W
authors.initials: W
authors.lastname: Concepcion
authors.forename: B G
authors.initials: BG
authors.lastname: Blackburn
mesh_terms: D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D008099:Liver / Q000821:virology; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D014019:Tissue Donors; D016896:Treatment Outcome; D014901:West Nile Fever / Q000503:physiopathology / Q000628:therapy* / Q000635:transmission* / Q000821:virology; D014902:West Nile virus
chemical_list: D016756:Immunoglobulins, Intravenous