Rahman R.K.Tan B.H.Santos D.W.C.L.Khan S.Clemente W.T.Watcharananan S.Mahidol University2025-12-072025-12-072025-01-01Transplant Infectious Disease (2025)13982273https://repository.li.mahidol.ac.th/handle/123456789/113415Infection 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.MedicineArticleSCOPUS10.1111/tid.701412-s2.0-1050234199161399306241288399