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FEVER OF UNKNOWN ORIGIN IN A RENAL TRANSPLANT RECIPIENT: LACTATE DEHYDROGENASE AS AN IMPORTANT CLUE TO DIAGNOSIS

JASMİNE SETHİ, KRİSHAN LAL GUPTA, TİRTHANKAR MOHANTY, SHEFALİ GUPTA, JASMİNA AHLUWALİA, HARBİR SİNGH KOHLİ

Experimental and Clinical Transplantation - 2020;18(3):390-391

Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, Postgraduate Institute of Medical Education and Research, Chandigarh, India

 

Histoplasmosis is a rare disease in nonendemic areas. We report a case of a 23-year-old male patient who presented with fever of unknown origin, cytopenias, organomegaly, and allograft dysfunction 4 months after renal transplant with father as donor. Bone marrow examination showed intracellular budding yeast cells, which was confirmed as histoplasmosis by culture of bone marrow biopsy sample. The patient was treated with intravenous liposomal amphotericin and responded well.