title: Severe dengue in the early postoperative period after kidney transplantation: two case reports from Hospital Geral de Fortaleza.
abstract: Dengue is an arbovirosis that ranges from an asymptomatic presentation to a more severe disease, which is characterized by a vascular leakage syndrome where abdominal pain is a major symptom. Transplant recipients are immunosuppressed and are less likely to develop a severe form of the disease because of a reduction in immune-mediated responses that trigger plasma extravasation events. Herein, we report two cases of severe dengue in the early postoperative period of two kidney transplant recipients. Considering the severity of the cases, we emphasize the importance of dengue screening immediately before transplantation in areas endemic for the disease.
authors.affiliation: Faculdade de Medicina, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil.
authors.forename: Samuelson Hugo Félix
authors.initials: SH
authors.lastname: Maia
authors.affiliation: Faculdade de Medicina, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil.
authors.forename: Ivelise Regina Canito
authors.initials: IR
authors.lastname: Brasil
authors.affiliation: Setor de Transplante, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil.
authors.forename: Ronaldo De Matos
authors.initials: Rde M
authors.lastname: Esmeraldo
authors.affiliation: Setor de Transplante, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil.
authors.forename: Carlos Nelton Da
authors.initials: CN
authors.lastname: Ponte
authors.affiliation: Setor de Transplante, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil.
authors.forename: Rebeca Carvalho Souza
authors.initials: RC
authors.lastname: Costa
authors.affiliation: Centro de Ciências da Saúde, Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil.
authors.forename: Roberta Alves
authors.initials: RA
authors.lastname: Lira
mesh_terms: D000293:Adolescent; D017809:Fatal Outcome; D006801:Humans; D016867:Immunocompromised Host; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications / Q000821:virology*; D019595:Severe Dengue / Q000150:complications* / Q000276:immunology; D055815:Young Adult