Schistosoma mansoni Infection Following Allogeneic Bone Marrow TransplantationAtilla Yalçın1, Ferit Avcu1, Ali Uğur Ural1, Cengiz Beyan1, Serdar Bedii Omay3, Mehmet Tanyüksel2, Levent Doğancı21Department Of Hematology Gülhane Military Medical Academy, Ankara, Turkey 2Department Of Microbiology And Parasitology Gülhane Military Medical Academy, Ankara, Turkey 3Department Of Hematology, Faculty Of Medicine, Aegean University, İzmir, Turkey
A case of Schistosoma mansoni infection in a 28 year old male after allogeneic bone marrow transplantation presenting with portal hypertension and gross hematuria is described. Schistosomiasis was confirmed by the discovery of parasites in the feces, together with the failure the patient to respond to multiple antimicrobial and antifungal treatment. After praziquantel administration, toxic or septic shock syndrome evolved and the patients died of acute renal failure on day 39 post-transplant. In this report, we would like to emphasize the importance of pre-transplant stool and urine cultures, and appropriate serologic tests in patients coming from endemic areas. Patients diagnosed with schistosomiasis must be treated at least 3 to 7 weeks before transplantation. Keywords: Schistosoma mansoni, Bone marrow transplantation.
Atilla Yalçın, Ferit Avcu, Ali Uğur Ural, Cengiz Beyan, Serdar Bedii Omay, Mehmet Tanyüksel, Levent Doğancı. Schistosoma mansoni Infection Following Allogeneic Bone Marrow Transplantation. Turk J Hematol. 1999; 16(4): 181-184
Corresponding Author: Atilla Yalçın, Türkiye |
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