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West Nile Virus Encephalitis in a Kidney Transplant Recipient
Authors:James C. Shepherd   Aruna Subramanian  Robert A. Montgomery  Milagros D. Samaniego  Gary Gong  Amy Bergmann  David Blythe   Lesia Dropulic
Affiliation:Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD, USA. jshepha1@jhmi.edu
Abstract:We describe a case of West Nile virus encephalitis in a 54-year-old kidney transplant recipient. The clinical course was rapid and fatal. Serial CSF samples showed an evolving mononuclear pleiocytosis and serial MRIs showed increasing signs of cytotoxic edema in her basal ganglia. Seroepidemiological testing indicated that the infection was most likely acquired from transfusion of fresh frozen plasma at the time of transplantation.
Keywords:Organ transplantation    transfusion    West Nile virus
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