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Visceral leishmaniasis in a renal transplant recipient: diagnostic and therapeutic problems. 1996
R K Sharma, and
R Jha, and
P Kumar, and
V Kher, and
A Gupta, and
A Kumar, and
S Gulati, and
P Arora, and
M Murari, and
M Bhandari
Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Visceral leishmaniasis is infrequently reported in renal transplant recipients. A 40-year-old renal transplant recipient developed hepatosplenomegaly and pyrexia of unknown origin 5 months after transplantation. Visceral leishmaniasis was confirmed on bone marrow examination. The usual dose of antiparasitic therapy with stibogluconate sodium failed to eradicate Leishmania donovani. High-dose conventional therapy with stibogluconate sodium for an extended period of time was successful in the treatment of a relapse of leishmaniasis.
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