title: Cytomegalovirus and Leishmania donovani coinfection in a renal allograft recipient.
abstract: Infection is a leading cause of death in renal allograft recipients. Apart from the immunosuppressive drugs, immunomodulatory viral infections also predispose the recipient to many opportunistic infections. Kala-azar in renal allograft recipients is infrequently reported even in endemic areas. In majority of cases, there was delay in diagnosis and treatment. We report a case of renal allograft recipient, where we faced a diagnostic dilemma because of coinfection of cytomegalovirus and visceral leishmaniasis (kala-azar). Kala-azar was successfully treated with amphotericin B. Kala-azar should always be kept as differential diagnosis in patients with pyrexia and cytopenia, even in the absence of splenomegaly in patients residing in an endemic zone.
authors.affiliation: Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
authors.forename: N
authors.initials: N
authors.lastname: Prasad
authors.forename: A
authors.initials: A
authors.lastname: Gupta
authors.forename: R K
authors.initials: RK
authors.lastname: Sharma
authors.forename: S
authors.initials: S
authors.lastname: Gopalakrishnan
authors.forename: V
authors.initials: V
authors.lastname: Agrawal
authors.forename: M
authors.initials: M
authors.lastname: Jain