Kidney International Reports

2022

DOI: 10.1016/j.ekir.2022.01.832

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POS-796 Cutaneous leishmaniasis in a kidney transplant patient: a case report

Noura M Thabet²,

et al.

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“…At the end of the process, we included 66 retrospective case reports and 4 retrospective case series. According to the modified Newcastle–Ottawa Scale, 11 items were classified as low-quality [ 7 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ], 34 as average-quality [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ], and 25 as high-quality studies [ 4 , 10 , 59 , 60 , 61 …”

Section: Resultsmentioning

confidence: 99%

“…The donor type was available for 112/159 (70.4%) patients: 64 received a deceased donor kidney [ 7 , 17 , 22 , 27 , 28 , 30 , 31 , 35 , 39 , 40 , 46 , 47 , 50 , 51 , 52 , 53 , 54 , 60 , 61 , 63 , 65 , 66 , 69 , 72 , 73 , 78 , 79 , 81 ] and 50 had a living donor [ 4 , 17 , 21 , 22 , 23 , 26 , 29 , 30 , 34 , 38 , 40 , 54 , 57 , 59 , 62 , 67 , 68 , 70 , 71 , 72 , 76 , 77 , 79 ].…”

Section: Resultsmentioning

confidence: 99%

“…Maintenance immunosuppression was very heterogeneous. Most patients were on a CNI-based triple-agent scheme with tacrolimus ( n = 54) [ 17 , 20 , 21 , 23 , 24 , 25 , 26 , 27 , 30 , 31 , 34 , 40 , 41 , 49 , 58 , 59 , 62 , 66 , 72 , 73 , 79 , 81 ] or cyclosporin ( n = 45) [ 4 , 17 , 29 , 30 , 33 , 35 , 36 , 39 , 40 , 45 , 46 , 47 , 50 , 51 , 53 , 54 , 60 , 61 , 63 , 64 , 65 , 69 , 70 , 71 , 74 , 75 , 78 , 79 ], AZA ( n = 51) […”

Section: Resultsmentioning

confidence: 99%

“…Among these patients, 50 also presented with Leishmania -associated skin and/or mucosal lesions [ 4 , 22 , 23 , 29 , 30 , 43 , 49 , 66 , 74 ]. Isolated cases of CL or MCL were described in six [ 21 , 32 , 34 , 50 , 62 , 68 ] and four [ 33 , 37 , 45 , 58 ] recipients, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 159 KT recipients with Leishmania infection described in the literature, survival was reported for 157/159 (98.7%) [ 4 , 7 , 10 , 15 , 16 , 17 , 18 , 19 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 ,…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Epidemiology, Clinical Characteristics, Diagnostic Work Up, and Treatment Options of Leishmania Infection in Kidney Transplant Recipients: A Systematic Review

¹

,

Santolamazza²,

et al. 2022

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Current knowledge on Leishmania infection after kidney transplantation (KT) is limited. In order to offer a comprehensive guide for the management of post-transplant Leishmaniasis, we performed a systematic review following the latest PRISMA Checklist and using PubMed, Scopus, and Embase as databases. No time restrictions were applied, including all English-edited articles on Leishmaniasis in KT recipients. Selected items were assessed for methodological quality using a modified Newcastle–Ottawa Scale. Given the nature and quality of the studies (case reports and retrospective uncontrolled case series), data could not be meta-analyzed. A descriptive summary was therefore provided. Eventually, we selected 70 studies, describing a total of 159 cases of Leishmaniasis. Most of the patients were adult, male, and Caucasian. Furthermore, they were frequently living or travelling to endemic regions. The onset of the disease was variable, but more often in the late transplant course. The clinical features were basically similar to those reported in the general population. However, a generalized delay in diagnosis and treatment could be detected. Bone marrow aspiration was the preferred diagnostic modality. The main treatment options included pentavalent antimonial and liposomal amphotericin B, both showing mixed results. Overall, the outcomes appeared as concerning, with several patients dying or losing their transplant.

“…At the end of the process, we included 66 retrospective case reports and 4 retrospective case series. According to the modified Newcastle–Ottawa Scale, 11 items were classified as low-quality [ 7 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ], 34 as average-quality [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ], and 25 as high-quality studies [ 4 , 10 , 59 , 60 , 61 …”

Section: Resultsmentioning

confidence: 99%

“…The donor type was available for 112/159 (70.4%) patients: 64 received a deceased donor kidney [ 7 , 17 , 22 , 27 , 28 , 30 , 31 , 35 , 39 , 40 , 46 , 47 , 50 , 51 , 52 , 53 , 54 , 60 , 61 , 63 , 65 , 66 , 69 , 72 , 73 , 78 , 79 , 81 ] and 50 had a living donor [ 4 , 17 , 21 , 22 , 23 , 26 , 29 , 30 , 34 , 38 , 40 , 54 , 57 , 59 , 62 , 67 , 68 , 70 , 71 , 72 , 76 , 77 , 79 ].…”

Section: Resultsmentioning

confidence: 99%

“…Maintenance immunosuppression was very heterogeneous. Most patients were on a CNI-based triple-agent scheme with tacrolimus ( n = 54) [ 17 , 20 , 21 , 23 , 24 , 25 , 26 , 27 , 30 , 31 , 34 , 40 , 41 , 49 , 58 , 59 , 62 , 66 , 72 , 73 , 79 , 81 ] or cyclosporin ( n = 45) [ 4 , 17 , 29 , 30 , 33 , 35 , 36 , 39 , 40 , 45 , 46 , 47 , 50 , 51 , 53 , 54 , 60 , 61 , 63 , 64 , 65 , 69 , 70 , 71 , 74 , 75 , 78 , 79 ], AZA ( n = 51) […”

Section: Resultsmentioning

confidence: 99%

“…Among these patients, 50 also presented with Leishmania -associated skin and/or mucosal lesions [ 4 , 22 , 23 , 29 , 30 , 43 , 49 , 66 , 74 ]. Isolated cases of CL or MCL were described in six [ 21 , 32 , 34 , 50 , 62 , 68 ] and four [ 33 , 37 , 45 , 58 ] recipients, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 159 KT recipients with Leishmania infection described in the literature, survival was reported for 157/159 (98.7%) [ 4 , 7 , 10 , 15 , 16 , 17 , 18 , 19 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 ,…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Epidemiology, Clinical Characteristics, Diagnostic Work Up, and Treatment Options of Leishmania Infection in Kidney Transplant Recipients: A Systematic Review

¹

,

Santolamazza²,

et al. 2022

View full text Add to dashboard Cite

Current knowledge on Leishmania infection after kidney transplantation (KT) is limited. In order to offer a comprehensive guide for the management of post-transplant Leishmaniasis, we performed a systematic review following the latest PRISMA Checklist and using PubMed, Scopus, and Embase as databases. No time restrictions were applied, including all English-edited articles on Leishmaniasis in KT recipients. Selected items were assessed for methodological quality using a modified Newcastle–Ottawa Scale. Given the nature and quality of the studies (case reports and retrospective uncontrolled case series), data could not be meta-analyzed. A descriptive summary was therefore provided. Eventually, we selected 70 studies, describing a total of 159 cases of Leishmaniasis. Most of the patients were adult, male, and Caucasian. Furthermore, they were frequently living or travelling to endemic regions. The onset of the disease was variable, but more often in the late transplant course. The clinical features were basically similar to those reported in the general population. However, a generalized delay in diagnosis and treatment could be detected. Bone marrow aspiration was the preferred diagnostic modality. The main treatment options included pentavalent antimonial and liposomal amphotericin B, both showing mixed results. Overall, the outcomes appeared as concerning, with several patients dying or losing their transplant.

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