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Dengue Fever Among Renal Transplant Recipients: A Series of 10 Cases in a Tropical Country

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  • Post-Graduation Program in Medical Sciences, Department of Internal Medicine, School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil; Division of Renal Transplantation, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil; Post-Graduation Program in Collective Health, School of Medicine, Health Sciences Center, University of Fortaleza, Fortaleza, Ceará, Brazil

This is a case series of 10 consecutive renal allograft recipients, followed at a tertiary hospital in northeast Brazil, with a confirmed diagnosis of dengue. Five of the patients needed hospitalization. Half of them were males and age ranged from 19 to 60 years with a median of 38.2 years. They had been transplanted for a mean of 5 days to 166 months. Four patients developed dengue hemorrhagic fever (DHF). All patients had myalgia and headache. All of them, except one, had fever. Positive dengue serology (IgM) was found in all patients. No patient died. Dengue is an important infectious disease that can affect renal transplant recipients, mainly in endemic areas. Its presentation seems to be similar to that seen in immunocompetent patients.

Author Notes

* Address correspondence to Silvana Daher Costa, Department of Internal Medicine, School of Medicine, Federal University of Ceará, Rua Vicente Linhares, 1198, CEP: 60135-270, Fortaleza, Ceará, Brazil. E-mail: silvanadaher1@hotmail.com

Authors' addresses: Silvana Daher Costa, Lorena Vasconcelos Mesquita Martiniano, Yago Sucupira Amaral, and Elizabeth De Francesco Daher, Post-Graduation Program in Medical Sciences, Department of Internal Medicine, School of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil, E-mails: silvanadaher1@hotmail.com, lorena_vasconcelos@hotmail.com, yagoamaral@msn.com, and ef.daher@uol.com.br. Geraldo Bezerra da Silva Jr., Master in Collective Health, School of Medicine, University of Fortaleza, Fortaleza, Brazil, E-mail: geraldobezerrajr@yahoo.com.br. Camilla Neves Jacinto, Department of Internal Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil, E-mail: millinhaneves@hotmail.com. Fernando Jose Villar Nogueira Paes, Maria Luiza De Mattos Brito Oliveira Sales, and Ronaldo de Matos Esmeraldo, Division of Renal Transplantation, Hospital Geral de Fortaleza, Fortaleza, Ceará, Brazil, E-mails: fjpaes@gmail.com, marialuizasales@yahoo.com.br, and ronaldoesmeraldo@yahoo.com.br.

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