Document Detail


Pancytopenia in a simultaneous pancreas and kidney transplant recipient: an unexpected cause - a case of visceral leishmaniasis in a transplant recipient.
MedLine Citation:
PMID:  19356384     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A transplant recipient presented with fever and pancytopenia. Bone marrow biopsy showed Leishmania parasites. Travel history revealed a trip to Greece 17 months prior to admission. This case illustrates the importance of considering leishmaniasis as a cause of pancytopenia, especially in the immunocompromised, even in the absence of recent travel to an endemic area. Acknowledgment of this infection is vital as the outcome can be fatal if left untreated.
Authors:
H Aardema; Y W J Sijpkens; L G Visser
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical nephrology     Volume:  71     ISSN:  0301-0430     ISO Abbreviation:  Clin. Nephrol.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-09     Completed Date:  2009-06-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0364441     Medline TA:  Clin Nephrol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  460-2     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Leiden University Medical Center, Leiden, Department of Critical Care, University Medical Center Groningen, University of Groningen, The Netherlands. h.aardema@int.umcg.nl
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MeSH Terms
Descriptor/Qualifier:
Adult
Amphotericin B / therapeutic use
Antiprotozoal Agents / therapeutic use
Diagnosis, Differential
Female
Humans
Immunocompromised Host
Kidney Transplantation*
Leishmaniasis, Visceral / diagnosis*,  drug therapy
Pancreas Transplantation*
Pancytopenia / parasitology*
Chemical
Reg. No./Substance:
0/Antiprotozoal Agents; 1397-89-3/Amphotericin B

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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