title: A first report of leptospirosis after liver transplantation.
abstract: Leptospirosis has been rarely reported in solid organ transplant recipients. We report the first case to our knowledge of leptospirosis in a liver transplant recipient who developed jaundice and renal insufficiency. We describe his favorable clinical progression and discuss the possible mechanisms involved in the more benign disease course. We also review the previously published cases of leptospirosis in solid organ transplant recipients. Although this disease does not appear to present any particularities in this context, we highlight the importance of clinical suspicion in this setting, particularly after liver transplantation.
authors.affiliation: Liver and Digestive Organ Transplantation Division, Gastroenterology Department, Clinicas Hospital, University of São Paulo Medical School, São Paulo, Brazil.|Liver Transplant and Surgery Laboratory - LIM37, University of São Paulo Medical School, São Paulo, Brazil.
authors.forename: A T W
authors.initials: AT
authors.lastname: Song
authors.affiliation: Liver and Digestive Organ Transplantation Division, Gastroenterology Department, Clinicas Hospital, University of São Paulo Medical School, São Paulo, Brazil.
authors.forename: L
authors.initials: L
authors.lastname: Abas
authors.affiliation: Nephrology Department, Clinicas Hospital, University of São Paulo Medical School, São Paulo, Brazil.
authors.forename: L C
authors.initials: LC
authors.lastname: Andrade
authors.affiliation: Liver and Digestive Organ Transplantation Division, Gastroenterology Department, Clinicas Hospital, University of São Paulo Medical School, São Paulo, Brazil.
authors.forename: W
authors.initials: W
authors.lastname: Andraus
authors.affiliation: Liver and Digestive Organ Transplantation Division, Gastroenterology Department, Clinicas Hospital, University of São Paulo Medical School, São Paulo, Brazil.|Liver Transplant and Surgery Laboratory - LIM37, University of São Paulo Medical School, São Paulo, Brazil.
authors.forename: L A C
authors.initials: LA
authors.lastname: D'Albuquerque
authors.affiliation: Viral Hepatitis Laboratory - LIM-47, University of São Paulo Medical School, São Paulo, Brazil.|Infectious Diseases Department, Clinicas Hospital, University of São Paulo Medical School, São Paulo, Brazil.
authors.forename: E
authors.initials: E
authors.lastname: Abdala
mesh_terms: D058186:Acute Kidney Injury / Q000188:drug therapy*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D006801:Humans; D007565:Jaundice / Q000382:microbiology; D007919:Leptospira / Q000302:isolation & purification*; D007922:Leptospirosis / Q000175:diagnosis* / Q000382:microbiology; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged
chemical_list: D000900:Anti-Bacterial Agents
keywords: Weil's disease; leptospirosis; liver transplantation; solid organ transplantation