Malaria transmission from donor has been reported as a rare life-threatening complication of kidney transplantation. We describe a case of malaria infection developed in a renal transplant recipient as early as 10 days after transplantation. The patient was 28-year-old man undergone living unrelated kidney transplantation. He came from "Shahreza", a city of Iran where malaria is not endemic. His donor was a 38-year-old healthy man who was a blue collar worker and had been a long-term resident of the malaria endemic area (south of Iran). The recipient experienced an episode of intravascular hemolysis, mild acute renal failure and fever 10 days after operation due to malaria infection which was confirmed by observation of the intraerythrocytic ring forms consistent with Plasmodium falciparum on blood film. He became afebrile and completely improved by antimalaria therapy and a blood film collected 9 days after diagnosis was reported to be negative. We speculated that severe anemia and febrile illness in our recipient immediately after transplantation was due to malaria transmitted through the renal allograft. To our knowledge, this is the first reported case of malaria transmission from donor after kidney transplantation in Iran.
Volume : 6
Issue : 4
Pages : 105
Nephrology & Urology Research Center, Baqiyatallah University of Medical Sciences