Acute Fever Early Post Renal Transplantation-A Call From the Tropics
1
Issued Date
2025-01-01
Resource Type
ISSN
13982273
eISSN
13993062
Scopus ID
2-s2.0-105023419916
Pubmed ID
41288399
Journal Title
Transplant Infectious Disease
Rights Holder(s)
SCOPUS
Bibliographic Citation
Transplant Infectious Disease (2025)
Suggested Citation
Rahman R.K., Tan B.H., Santos D.W.C.L., Khan S., Clemente W.T., Watcharananan S. Acute Fever Early Post Renal Transplantation-A Call From the Tropics. Transplant Infectious Disease (2025). doi:10.1111/tid.70141 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/113415
Title
Acute Fever Early Post Renal Transplantation-A Call From the Tropics
Author's Affiliation
Monash University
Universidade Federal de Minas Gerais
Singapore General Hospital
Universidade Federal do Maranhão
Ramathibodi Hospital
Instituto D'Or de Pesquisa e Ensino
Alfred Health
Aster MIMS Hospital
Digestive Transplant Program - Transplant Infectious Disease, Hospital Das Clínicas EBSERH/UFMG
Universidade Federal de Minas Gerais
Singapore General Hospital
Universidade Federal do Maranhão
Ramathibodi Hospital
Instituto D'Or de Pesquisa e Ensino
Alfred Health
Aster MIMS Hospital
Digestive Transplant Program - Transplant Infectious Disease, Hospital Das Clínicas EBSERH/UFMG
Corresponding Author(s)
Other Contributor(s)
Abstract
Infection with Dengue virus (DENV)is a growing concern in solid organ transplant (SOT) recipients in endemic regions. We report a 15-year-old kidney transplant recipient who developed fever and thrombocytopenia on post-transplant day five; DENV NS1 antigen confirmed acute infection. He recovered with supportive care, and no donor-derived transmission was identified. A review of 327 cases shows early post-transplant dengue carries higher risks of cytopenias, capillary leak, graft dysfunction, and mortality (6.1%) versus the general population. Improved diagnostics, outbreak-responsive donor screening, and pre-transplant vaccination in immunocompetent candidates may help mitigate dengue burden in SOT recipients.