Title
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Recurrent leishmaniasis in kidney transplant recipients: report of 2 cases and systematic review of the literature
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Author
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Abstract
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The characteristics of 8 episodes of leishmaniasis with atypical manifestations in 2 Italian kidney transplant recipients are analyzed and contextualized among those of 52 other episodes of leishmaniasis observed in 19 transplant recipients found through a systematic review of the international literature. In all the patients, the initial episode was visceral leishmaniasis, which was associated with mucocutaneous involvement in 2 cases. With the exception of 1 case of post kala-azar dermal leishmaniasis, 2 episodes of Leishmania endophthalmitis, and 3 episodes of mucocutaneous leishmaniasis, all the recurrences were characterized by visceral involvement. The potential role of polymerase chain reaction in monitoring the infection, the importance of a long follow-up, the potential benefit of chemoprophylaxis, and the therapeutic challenges are discussed. |
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Language
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English
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Source (journal)
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Transplant infectious disease. - Copenhagen
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Publication
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Copenhagen
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2011
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ISSN
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1398-2273
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DOI
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10.1111/J.1399-3062.2011.00598.X
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Volume/pages
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13
:4
(2011)
, p. 397-406
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ISI
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000293658000011
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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