A case of malaria in the kidney transplanted patients with maintenance immunosuppression.
- Author:
Ju Hee AHN
1
;
Young Sun HEO
;
Eung Taek KANG
;
Suk Hee YU
Author Information
1. Department of Internal Medicine, Chung-Ang University Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Kidney transplantation;
Plasmodium vivax
- MeSH:
Adult;
Chloroquine;
Diagnosis;
Drug Therapy;
Fever;
Humans;
Immunosuppression*;
Kidney Transplantation;
Kidney*;
Korea;
Malaria*;
Malaria, Vivax;
Male;
Plasmodium vivax;
Primaquine;
Trophozoites
- From:Korean Journal of Medicine
2000;59(5):540-543
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Malaria infection is not uncommon in Korea these days, but there was no report of malaria infection in the patients who had been transplanted his or her kidney. With the immunosuppression, the atypical findings are frequent and make prompt diagnosis difficult. We report a case of malaria which showed atypical clinical course but treated successfully with conventional anti-malarial drug therapy. A 37 year old male patient were transplanted his kidney in Sep. 1997. He was admitted because of fever, which lasted 40 - 50 min every afternoon for 27 days. Numerous trophozoites were found on his peripheral blood smear, which was diagnosed as vivax malaria. Chloroquine and primaquine were given, and fever subsided next day. The patients has been stayed afebrile thereafter. We reported a case of malaria in the renal transplanted patient with the review of literatures.
