The monitoring of hematopoietic stem cell transplant donors and recipients from endemic areas for malaria
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , |
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. |
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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 |
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1798951647885393920 |