title: Dengue Fever Among Renal Transplant Recipients: A Series of 10 Cases in a Tropical Country.
abstract: This is a case series of 10 consecutive renal allograft recipients, followed at a tertiary hospital in northeast Brazil, with a confirmed diagnosis of dengue. Five of the patients needed hospitalization. Half of them were males and age ranged from 19 to 60 years with a median of 38.2 years. They had been transplanted for a mean of 5 days to 166 months. Four patients developed dengue hemorrhagic fever (DHF). All patients had myalgia and headache. All of them, except one, had fever. Positive dengue serology (IgM) was found in all patients. No patient died. Dengue is an important infectious disease that can affect renal transplant recipients, mainly in endemic areas. Its presentation seems to be similar to that seen in immunocompetent patients.
authors.affiliation: Post-Graduation Program in Medical Sciences, Department of Internal Medicine, School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil; Division of Renal Transplantation, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil; Post-Graduation Program in Collective Health, School of Medicine, Health Sciences Center, University of Fortaleza, Fortaleza, Ceará, Brazil silvanadaher1@hotmail.com.
authors.forename: Silvana Daher
authors.initials: SD
authors.lastname: Costa
authors.affiliation: Post-Graduation Program in Medical Sciences, Department of Internal Medicine, School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil; Division of Renal Transplantation, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil; Post-Graduation Program in Collective Health, School of Medicine, Health Sciences Center, University of Fortaleza, Fortaleza, Ceará, Brazil.
authors.forename: Geraldo Bezerra
authors.initials: GB
authors.lastname: da Silva
authors.affiliation: Post-Graduation Program in Medical Sciences, Department of Internal Medicine, School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil; Division of Renal Transplantation, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil; Post-Graduation Program in Collective Health, School of Medicine, Health Sciences Center, University of Fortaleza, Fortaleza, Ceará, Brazil.
authors.forename: Camilla Neves
authors.initials: CN
authors.lastname: Jacinto
authors.affiliation: Post-Graduation Program in Medical Sciences, Department of Internal Medicine, School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil; Division of Renal Transplantation, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil; Post-Graduation Program in Collective Health, School of Medicine, Health Sciences Center, University of Fortaleza, Fortaleza, Ceará, Brazil.
authors.forename: Lorena Vasconcelos Mesquita
authors.initials: LV
authors.lastname: Martiniano
authors.affiliation: Post-Graduation Program in Medical Sciences, Department of Internal Medicine, School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil; Division of Renal Transplantation, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil; Post-Graduation Program in Collective Health, School of Medicine, Health Sciences Center, University of Fortaleza, Fortaleza, Ceará, Brazil.
authors.forename: Yago Sucupira
authors.initials: YS
authors.lastname: Amaral
authors.affiliation: Post-Graduation Program in Medical Sciences, Department of Internal Medicine, School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil; Division of Renal Transplantation, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil; Post-Graduation Program in Collective Health, School of Medicine, Health Sciences Center, University of Fortaleza, Fortaleza, Ceará, Brazil.
authors.forename: Fernando Jose Villar Nogueira
authors.initials: FJ
authors.lastname: Paes
authors.affiliation: Post-Graduation Program in Medical Sciences, Department of Internal Medicine, School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil; Division of Renal Transplantation, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil; Post-Graduation Program in Collective Health, School of Medicine, Health Sciences Center, University of Fortaleza, Fortaleza, Ceará, Brazil.
authors.forename: Maria Luiza
authors.initials: ML
authors.lastname: De Mattos Brito Oliveira Sales
authors.affiliation: Post-Graduation Program in Medical Sciences, Department of Internal Medicine, School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil; Division of Renal Transplantation, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil; Post-Graduation Program in Collective Health, School of Medicine, Health Sciences Center, University of Fortaleza, Fortaleza, Ceará, Brazil.
authors.forename: Ronaldo
authors.initials: R
authors.lastname: de Matos Esmeraldo
authors.affiliation: Post-Graduation Program in Medical Sciences, Department of Internal Medicine, School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil; Division of Renal Transplantation, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil; Post-Graduation Program in Collective Health, School of Medicine, Health Sciences Center, University of Fortaleza, Fortaleza, Ceará, Brazil.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: De Francesco Daher
mesh_terms: D000328:Adult; D000911:Antibodies, Monoclonal / Q000627:therapeutic use; D000077552:Basiliximab; D001938:Brazil; D003715:Dengue / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007668:Kidney / Q000473:pathology / Q000821:virology; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011993:Recombinant Fusion Proteins / Q000627:therapeutic use; D066027:Transplant Recipients; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000911:Antibodies, Monoclonal; D007166:Immunosuppressive Agents; D011993:Recombinant Fusion Proteins; D000077552:Basiliximab