Zika Virus Infection and Solid Organ Transplantation: A New Challenge

Public health concerns exist surrounding the epidemic of the Zika virus (ZIKV) and the rapid growth of transplantation in developing countries, including endemic zones of active arbovirus transmission, as well as travel to such regions by potential organ donors and recipients. Few data exist regardi...

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Veröffentlicht in:American journal of transplantation 2017-03, Vol.17 (3), p.791-795
Hauptverfasser: Nogueira, M. L., Estofolete, C. F., Terzian, A. C. B., Mascarin do Vale, E. P. B., Silva, R. C. M. A., Silva, R. F., Ramalho, H. J., Fernandes Charpiot, I. M. M., Vasilakis, N., Abbud‐Filho, M.
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container_end_page 795
container_issue 3
container_start_page 791
container_title American journal of transplantation
container_volume 17
creator Nogueira, M. L.
Estofolete, C. F.
Terzian, A. C. B.
Mascarin do Vale, E. P. B.
Silva, R. C. M. A.
Silva, R. F.
Ramalho, H. J.
Fernandes Charpiot, I. M. M.
Vasilakis, N.
Abbud‐Filho, M.
description Public health concerns exist surrounding the epidemic of the Zika virus (ZIKV) and the rapid growth of transplantation in developing countries, including endemic zones of active arbovirus transmission, as well as travel to such regions by potential organ donors and recipients. Few data exist regarding the clinical characteristics of ZIKV infection in immunocompromised hosts. Laboratory screening protocols for transplantation to differentiate ZIKV infections from other endemic viral diseases and for the detection of possible donor‐derived infection have not been stated. The diagnosis of ZIKV infection remains a challenge, fueled by the lack of standardized commercially available diagnostic tests and validated reference diagnostic laboratories, as well as the limited duration of ZIKV viremia. In this small series, ZIKV infection in renal and liver recipients presented without rash, conjunctivitis, or neurological symptoms, and with abnormal graft function, thrombocytopenia, and bacterial superinfection. We report the first case series of ZIKV infection in solid organ recipients, with a description of clinical and laboratory features and therapeutic management. In this study, the authors describe the features of Zika infection in solid organ transplant. See the editorial from Blumberg and Fishman on page 599.
doi_str_mv 10.1111/ajt.14047
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subjects clinical research/practice
Graft Rejection - diagnosis
Graft Rejection - etiology
Graft Survival
Humans
infection and infectious agents
Infections
infectious disease
Laboratories
Male
Middle Aged
Organ Transplantation - adverse effects
Prognosis
Risk Factors
RNA, Viral - genetics
Transplants & implants
viral
Viremia - diagnosis
Viremia - etiology
Zika virus
Zika Virus - genetics
Zika Virus - pathogenicity
Zika Virus Infection - complications
Zika Virus Infection - virology
title Zika Virus Infection and Solid Organ Transplantation: A New Challenge
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