TangnararatchakitK, TirapanichW, Tapaneya-OlarnW, SumethkulV, SirachainanN, WatcharanananS, LeenanupunthC, YoksanS, ChuansumritA, 2012. Severe nonfebrile dengue infection in an adolescent after postoperative kidney transplantation: a case report. Transplant Proc44: 303–306.
TangnararatchakitKTirapanichWTapaneya-OlarnWSumethkulVSirachainanNWatcharanananSLeenanupunthCYoksanSChuansumritA, 2012. Severe nonfebrile dengue infection in an adolescent after postoperative kidney transplantation: a case report. Transplant Proc44: 303–306.)| false
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.
* 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: firstname.lastname@example.org