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Malaria in an asylum seeker paediatric liver transplant recipient: diagnostic challenges for migrant population
Transplanted patients are particularly exposed to a major risk of infectious diseases due to prolonged immunosuppressive treatment. Over the last decade, the growing migration flows and the transplant tourism have led to increasing infections caused by geographically restricted organisms. Malaria is...
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Published in: | Journal of infection in developing countries 2021-01, Vol.15 (1), p.172-178 |
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container_title | Journal of infection in developing countries |
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creator | Vita, Serena Gabrielli, Simona Fontanelli Sulekova, Lucia De Angelis, Maurizio Alessandri, Francesco Pugliese, Francesco Ruberto, Franco Spagnolello, Ornella Mazzocato, Valentina Celani, Luigi Lopalco, Maurizio Mattiucci, Simonetta Bazzardi, Riccardo Angeletti, Silvia Ciccozzi, Massimo D'Ettorre, Gabriella Ceccarelli, Giancarlo |
description | Transplanted patients are particularly exposed to a major risk of infectious diseases due to prolonged immunosuppressive treatment. Over the last decade, the growing migration flows and the transplant tourism have led to increasing infections caused by geographically restricted organisms. Malaria is an unusual event in organ transplant recipients than can be acquired primarily or reactivation following immunosuppression, by transfusion of blood products or through the transplanted organ. We report a rare case of Plasmodium falciparum infection in a liver transplanted two years-old African boy who presented to one Italian Asylum Seeker Center on May 2019. We outlined hereby diagnostic challenges, possible aetiologies of post-transplantation malaria and finally we summarized potential drug interactions between immunosuppressive agents and antimalarials. This report aims to increase the attention to newly arrived migrants, carefully evaluating patients coming from tropical areas and taking into consideration also rare tropical infections not endemic in final destination countries. |
doi_str_mv | 10.3855/jidc.12541 |
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Over the last decade, the growing migration flows and the transplant tourism have led to increasing infections caused by geographically restricted organisms. Malaria is an unusual event in organ transplant recipients than can be acquired primarily or reactivation following immunosuppression, by transfusion of blood products or through the transplanted organ. We report a rare case of Plasmodium falciparum infection in a liver transplanted two years-old African boy who presented to one Italian Asylum Seeker Center on May 2019. We outlined hereby diagnostic challenges, possible aetiologies of post-transplantation malaria and finally we summarized potential drug interactions between immunosuppressive agents and antimalarials. This report aims to increase the attention to newly arrived migrants, carefully evaluating patients coming from tropical areas and taking into consideration also rare tropical infections not endemic in final destination countries.</description><identifier>ISSN: 1972-2680</identifier><identifier>ISSN: 2036-6590</identifier><identifier>EISSN: 1972-2680</identifier><identifier>DOI: 10.3855/jidc.12541</identifier><identifier>PMID: 33571161</identifier><language>eng</language><publisher>Italy: Journal of Infection in Developing Countries</publisher><subject>Case reports ; Immunosuppressive agents ; Liver transplants ; Malaria ; Medical diagnosis ; Pediatrics ; Political asylum ; Transplants & implants</subject><ispartof>Journal of infection in developing countries, 2021-01, Vol.15 (1), p.172-178</ispartof><rights>Copyright (c) 2021 Serena Vita, Simona Gabrielli, Lucia Fontanelli Sulekova, Maurizio De Angelis, Francesco Alessandri, Francesco Pugliese, Franco Ruberto, Ornella Spagnolello, Valentina Mazzocato, Luigi Celani, Maurizio Lopalco, Simonetta Mattiucci, Riccardo Bazzardi, Silvia Angeletti, Massimo Ciccozzi, Gabriella d’Ettorre, Giancarlo Ceccarelli.</rights><rights>2021. 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This report aims to increase the attention to newly arrived migrants, carefully evaluating patients coming from tropical areas and taking into consideration also rare tropical infections not endemic in final destination countries.</description><subject>Case reports</subject><subject>Immunosuppressive agents</subject><subject>Liver transplants</subject><subject>Malaria</subject><subject>Medical diagnosis</subject><subject>Pediatrics</subject><subject>Political asylum</subject><subject>Transplants & implants</subject><issn>1972-2680</issn><issn>2036-6590</issn><issn>1972-2680</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><recordid>eNpNkMtKAzEUhoMotlY3PoAE3AlTc5nMxZ0Ub1Bx0_2QSTI1NZOMSUbo25vaKsKBc_j5-A98AFxiNKcVY7cbLcUcE5bjIzDFdUkyUlTo-N89AWchbBBiNWX4FEwoZSXGBZ4C98oN95pDbSFPE7Zm7GFQ6kN5OHAlNY9eC2j0Vwqi5zYMhtsIvRJ60MrGO5iYtXUhJky8c2OUXasAO-dhr9d-Bw9uGA2P2tlzcNJxE9TFYc_A6vFhtXjOlm9PL4v7ZSYoZjHLEeNVwaSoK0HzUuK2orJkmLQtkYoQLjHLy44gVDJJMSGYyK7KaSFEx1tBZ-B6Xzt49zmqEJuNG71NHxvCCoRqVhc0UTd7SngXglddM3jdc79tMGp2apud2uZHbYKvDpVj2yv5h_66pN_uEXYi</recordid><startdate>20210131</startdate><enddate>20210131</enddate><creator>Vita, Serena</creator><creator>Gabrielli, Simona</creator><creator>Fontanelli Sulekova, Lucia</creator><creator>De Angelis, Maurizio</creator><creator>Alessandri, Francesco</creator><creator>Pugliese, Francesco</creator><creator>Ruberto, Franco</creator><creator>Spagnolello, Ornella</creator><creator>Mazzocato, Valentina</creator><creator>Celani, Luigi</creator><creator>Lopalco, Maurizio</creator><creator>Mattiucci, Simonetta</creator><creator>Bazzardi, Riccardo</creator><creator>Angeletti, Silvia</creator><creator>Ciccozzi, Massimo</creator><creator>D'Ettorre, Gabriella</creator><creator>Ceccarelli, Giancarlo</creator><general>Journal of Infection in Developing Countries</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8C1</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20210131</creationdate><title>Malaria in an asylum seeker paediatric liver transplant recipient: diagnostic challenges for migrant population</title><author>Vita, Serena ; 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issn | 1972-2680 2036-6590 1972-2680 |
language | eng |
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source | Publicly Available Content (ProQuest); Coronavirus Research Database |
subjects | Case reports Immunosuppressive agents Liver transplants Malaria Medical diagnosis Pediatrics Political asylum Transplants & implants |
title | Malaria in an asylum seeker paediatric liver transplant recipient: diagnostic challenges for migrant population |
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