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Article
West Nile Virus—Associated Encephalitis in Recipients of Renal and Pancreas Transplants: Case Series and Literature Review
Clinical Infectious Diseases
  • Kadiyala V. Ravindra
  • Alison G. Freifeld
  • Andre C. Kalil
  • David F. Mercer
  • Wendy J. Grant
  • Jean F. Botha
  • Lucile E. Wrenshall, Wright State University - Main Campus
  • R. Brian Stevens, Wright State University
Document Type
Article
Publication Date
5-1-2004
Abstract
Although West Nile fever is mild in the vast majority of infected persons, there is growing evidence that the disease may be more severe in the immunocompromised population. We describe 3 recipients of kidney or pancreas transplants who developed West Nile fever, 2 of whom had meningoencephalitis. As is the norm when treating serious infections in transplant recipients, a reduction of immunosuppression was pursued for these patients. Despite the severe nature of the disease in 2 patients, all recovered from the disease. The time course of neurologic recovery in the 2 patients with meningoencephalitis is highlighted. We also review the literature on West Nile fever in organ transplant recipients. In areas where West Nile virus is endemic, one must have a high index of suspicion for the illness when dealing with fever in transplant recipients.
DOI
10.1086/383325
Citation Information
Kadiyala V. Ravindra, Alison G. Freifeld, Andre C. Kalil, David F. Mercer, et al.. "West Nile Virus—Associated Encephalitis in Recipients of Renal and Pancreas Transplants: Case Series and Literature Review" Clinical Infectious Diseases Vol. 38 Iss. 9 (2004) p. 1257 - 1260 ISSN: 10584838
Available at: http://works.bepress.com/lucile_wrenshall/21/