Fatal Yellow Fever in a Kidney Transplant Patient.

Pierrotti, Lígia C; Duarte-Neto, Amaro N; Song, Alice T W; Ventura, Carlucci G; David-Neto, Elias; Azevedo, Luiz S · Clin Infect Dis · 2020

case_report · Level V

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Abstract

A kidney-transplanted patient, unvaccinated against yellow fever (YF), developed high fever, progressed rapidly to hepatic insufficiency and coma, and died 8 days later. Real-time polymarase chain reaction for YF virus collected on the seventh day of symptoms was positive. Autopsy showed disseminated infection and midzonal hepatitis with apoptotic hepatocytes and minimal inflammatory reaction.

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