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Acute Colitis Associated With Dengue Fever in a Renal Transplant Recipient

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Author(s)
김형태조원현박성배류성열진규복황은아한승엽김현철
Alternative Author(s)
Kim, Hyoung TaeCho, Won HyunPark, Sung BaeRyu, Seong YeolJin, Kyu BokHwang, Eun AhHan, Seung YeupKim, Hyun Chul
Publication Year
2008
Abstract
Dengue fever is a significant health problem for international travelers to all endemic area.
Dengue fever is characterized by a sudden onset of fever, headache, rash, myalgia, and
joint pain. Infection with the dengue virus is detrimental to a immunosuppressed renal
transplant patients. Herein we report a 29-year-old woman living-related renal transplant
recipient returning from Southeast Asia with dengue fever presenting as acute colitis. The
patient traveled to Southeast Asia for 1 week. She developed watery diarrhea in the second
week after the onset of symptoms of dengue fever. Laboratory findings were leukopenia,
thrombocytopenia, and elevated serum transaminase levels. Sigmoidoscopic features
showed nonspecific acute colitis. She improved after 10 days of hospitalization with
intensive supportive care and continuous tacrolimus monotherapy. Altered clinical symp-
toms are manifested in immunologically naïve adults. Manifestation of unusual symptoms
does not exclude dengue virus infection in renal transplant recipients.
Department
Dept. of Surgery (외과학)
Dept. of Internal Medicine (내과학)
Kidney Institute (신장연구소)
Publisher
School of Medicine
Citation
Transplantation Proceeding, Vol.40(7) : 2431-2432, 2008
Type
Article
ISSN
0041-1345
DOI
10.1016/j.transproceed.2008.07.037
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/34723
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