The monitoring of hematopoietic stem cell transplant donors and recipients from endemic areas for malaria

Detalhes bibliográficos
Autor(a) principal: Inoue, Juliana
Data de Publicação: 2010
Outros Autores: Machado, Clarisse Martins, Lima, Giselle Fernandes Maciel de Castro, Nascimento, Maria de Jesus Costa, Colturato, Vergílio Rensi, Di Santi, Silvia Maria
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Instituto de Medicina Tropical de São Paulo
Texto Completo: https://www.revistas.usp.br/rimtsp/article/view/31353
Resumo: Malaria is an unusual complication after hematopoietic stem cell transplantation in non-endemic countries. However, transplant candidates, recipients and donors living in endemic regions frequently report previous episodes of malaria. This fact could represent an important risk for immunosuppressed recipients that could develop severe malaria cases. We report a case of hematopoietic stem cell transplant (HSCT) in which the donor had a history of previous malaria, and close monitoring was performed before and after procedure by parasitological and molecular tests. The donor presented Plasmodium vivax in thick blood smears one month after transplant and was treated according to Brazilian Health Ministry guidelines. The polymerase chain reaction (PCR) was able to detect malaria infection in the donor one week earlier than thick blood film. Even without positive results, the recipient was pre-emptively treated with chloroquine in order to prevent the disease. We highlight the importance of monitoring recipients and donors in transplant procedures with the aim of reducing the risk of malaria transmission.
id IMT-1_002d867291f7ea53fe6fa27ed7c5600b
oai_identifier_str oai:revistas.usp.br:article/31353
network_acronym_str IMT-1
network_name_str Revista do Instituto de Medicina Tropical de São Paulo
repository_id_str
spelling The monitoring of hematopoietic stem cell transplant donors and recipients from endemic areas for malaria Monitoramento de doadores e receptores provenientes de áreas endêmicas para malária em transplante de células-tronco hematopoiéticas Hematopoietic stem cell transplantationMalariaMolecular diagnosticMicroscopy Malaria is an unusual complication after hematopoietic stem cell transplantation in non-endemic countries. However, transplant candidates, recipients and donors living in endemic regions frequently report previous episodes of malaria. This fact could represent an important risk for immunosuppressed recipients that could develop severe malaria cases. We report a case of hematopoietic stem cell transplant (HSCT) in which the donor had a history of previous malaria, and close monitoring was performed before and after procedure by parasitological and molecular tests. The donor presented Plasmodium vivax in thick blood smears one month after transplant and was treated according to Brazilian Health Ministry guidelines. The polymerase chain reaction (PCR) was able to detect malaria infection in the donor one week earlier than thick blood film. Even without positive results, the recipient was pre-emptively treated with chloroquine in order to prevent the disease. We highlight the importance of monitoring recipients and donors in transplant procedures with the aim of reducing the risk of malaria transmission. A malária é complicação incomum após o transplante de células-tronco hematopoiéticas em países endêmicos. No entanto, candidatos a transplantes, receptores e doadores que vivem em regiões endêmicas frequentemente relatam episódios anteriores de malária. Este fato pode representar um risco importante para receptores imunossuprimidos, que podem desenvolver casos de malária grave. Relatamos um caso de transplante de células-tronco hematopoiéticas (TCTH) em que o doador teve história de malária anterior e um monitoramento por meio de exames parasitológicos e moleculares foi realizado antes e após o procedimento. O doador apresentou Plasmodium vivax na gota espessa um mês após o transplante e foi tratado de acordo com as orientações do Ministério da Saúde brasileiro. A reação em cadeia da polimerase (PCR) foi capaz de detectar a infecção por malária no doador uma semana mais cedo do que a gota espessa. Mesmo sem resultados positivos, o receptor foi preventivamente tratado com cloroquina, a fim de prevenir as formas sanguíneas assexuadas. Destacamos a importância do monitoramento de receptores e doadores em procedimentos de transplante, com o objetivo de reduzir o risco de transmissão da malária. Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2010-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/31353Revista do Instituto de Medicina Tropical de São Paulo; Vol. 52 No. 5 (2010); 281-284 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 52 Núm. 5 (2010); 281-284 Revista do Instituto de Medicina Tropical de São Paulo; v. 52 n. 5 (2010); 281-284 1678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/31353/33238Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessInoue, JulianaMachado, Clarisse MartinsLima, Giselle Fernandes Maciel de CastroNascimento, Maria de Jesus CostaColturato, Vergílio RensiDi Santi, Silvia Maria2012-07-07T19:33:10Zoai:revistas.usp.br:article/31353Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:52:01.624540Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true
dc.title.none.fl_str_mv The monitoring of hematopoietic stem cell transplant donors and recipients from endemic areas for malaria
Monitoramento de doadores e receptores provenientes de áreas endêmicas para malária em transplante de células-tronco hematopoiéticas
title The monitoring of hematopoietic stem cell transplant donors and recipients from endemic areas for malaria
spellingShingle The monitoring of hematopoietic stem cell transplant donors and recipients from endemic areas for malaria
Inoue, Juliana
Hematopoietic stem cell transplantation
Malaria
Molecular diagnostic
Microscopy
title_short The monitoring of hematopoietic stem cell transplant donors and recipients from endemic areas for malaria
title_full The monitoring of hematopoietic stem cell transplant donors and recipients from endemic areas for malaria
title_fullStr The monitoring of hematopoietic stem cell transplant donors and recipients from endemic areas for malaria
title_full_unstemmed The monitoring of hematopoietic stem cell transplant donors and recipients from endemic areas for malaria
title_sort The monitoring of hematopoietic stem cell transplant donors and recipients from endemic areas for malaria
author Inoue, Juliana
author_facet Inoue, Juliana
Machado, Clarisse Martins
Lima, Giselle Fernandes Maciel de Castro
Nascimento, Maria de Jesus Costa
Colturato, Vergílio Rensi
Di Santi, Silvia Maria
author_role author
author2 Machado, Clarisse Martins
Lima, Giselle Fernandes Maciel de Castro
Nascimento, Maria de Jesus Costa
Colturato, Vergílio Rensi
Di Santi, Silvia Maria
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Inoue, Juliana
Machado, Clarisse Martins
Lima, Giselle Fernandes Maciel de Castro
Nascimento, Maria de Jesus Costa
Colturato, Vergílio Rensi
Di Santi, Silvia Maria
dc.subject.por.fl_str_mv Hematopoietic stem cell transplantation
Malaria
Molecular diagnostic
Microscopy
topic Hematopoietic stem cell transplantation
Malaria
Molecular diagnostic
Microscopy
description Malaria is an unusual complication after hematopoietic stem cell transplantation in non-endemic countries. However, transplant candidates, recipients and donors living in endemic regions frequently report previous episodes of malaria. This fact could represent an important risk for immunosuppressed recipients that could develop severe malaria cases. We report a case of hematopoietic stem cell transplant (HSCT) in which the donor had a history of previous malaria, and close monitoring was performed before and after procedure by parasitological and molecular tests. The donor presented Plasmodium vivax in thick blood smears one month after transplant and was treated according to Brazilian Health Ministry guidelines. The polymerase chain reaction (PCR) was able to detect malaria infection in the donor one week earlier than thick blood film. Even without positive results, the recipient was pre-emptively treated with chloroquine in order to prevent the disease. We highlight the importance of monitoring recipients and donors in transplant procedures with the aim of reducing the risk of malaria transmission.
publishDate 2010
dc.date.none.fl_str_mv 2010-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rimtsp/article/view/31353
url https://www.revistas.usp.br/rimtsp/article/view/31353
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rimtsp/article/view/31353/33238
dc.rights.driver.fl_str_mv Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
publisher.none.fl_str_mv Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
dc.source.none.fl_str_mv Revista do Instituto de Medicina Tropical de São Paulo; Vol. 52 No. 5 (2010); 281-284
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 52 Núm. 5 (2010); 281-284
Revista do Instituto de Medicina Tropical de São Paulo; v. 52 n. 5 (2010); 281-284
1678-9946
0036-4665
reponame:Revista do Instituto de Medicina Tropical de São Paulo
instname:Instituto de Medicina Tropical (IMT)
instacron:IMT
instname_str Instituto de Medicina Tropical (IMT)
instacron_str IMT
institution IMT
reponame_str Revista do Instituto de Medicina Tropical de São Paulo
collection Revista do Instituto de Medicina Tropical de São Paulo
repository.name.fl_str_mv Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)
repository.mail.fl_str_mv ||revimtsp@usp.br
_version_ 1798951647885393920