Korean J Med.  2000 Nov;59(5):540-543.

A case of malaria in the kidney transplanted patients with maintenance immunosuppression

• Ahn JH
• Heo YS
• Kang ET
• Yu SH

Abstract

Malaria infection is not uncommon in Korea these days, but there was no report of malaria infection in the patients who had been transplanted his or her kidney. With the immunosuppression, the atypical findings are frequent and make prompt diagnosis difficult. We report a case of malaria which showed atypical clinical course but treated successfully with conventional anti-malarial drug therapy. A 37 year old male patient were transplanted his kidney in Sep. 1997. He was admitted because of fever, which lasted 40 - 50 min every afternoon for 27 days. Numerous trophozoites were found on his peripheral blood smear, which was diagnosed as vivax malaria. Chloroquine and primaquine were given, and fever subsided next day. The patients has been stayed afebrile thereafter. We reported a case of malaria in the renal transplanted patient with the review of literatures.

Keyword

Kidney transplantation; Plasmodium vivax

MeSH Terms

Adult
Chloroquine
Diagnosis
Drug Therapy
Fever
Humans
Immunosuppression*
Kidney Transplantation
Kidney*
Korea
Malaria*
Malaria, Vivax
Male
Plasmodium vivax
Primaquine
Trophozoites
Chloroquine
Primaquine