Visceral leishmaniasis in organ transplant recipients: 11 new cases and a review of the literature.

Abstract:

:Eleven new cases of visceral leishmaniasis (VL) are reported in organ transplant patients in France. The epidemiological, clinical, biological, diagnostic and therapeutic features are reviewed, based on these cases and 46 cases reported in the literature. VL was most commonly associated with renal transplantation (77% of the cases). Most patients were from Southern European countries. The main clinical symptom was fever. Leucopoenia and anaemia were the most frequent haematological disorders. Diagnosis was by direct finding of the parasite in smears of bone marrow (85.2%) or, by positive serology (90.9%). Without antileishmanial treatment, VL in transplant recipients was fatal. Treatment using either antimonials or amphotericine B gave similar cure rates of around 80% of the cases. But toxicity was higher for antimonials. Relapses occurred in 14.3%.

journal_name

Microbes Infect

journal_title

Microbes and infection

authors

Basset D,Faraut F,Marty P,Dereure J,Rosenthal E,Mary C,Pratlong F,Lachaud L,Bastien P,Dedet JP

doi

10.1016/j.micinf.2005.06.002

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

1370-5

issue

13

eissn

1286-4579

issn

1769-714X

pii

S1286-4579(05)00191-7

journal_volume

7

pub_type

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