期刊
JOURNAL OF INFECTIOUS DISEASES
卷 228, 期 9, 页码 1304-1308出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/infdis/jiad289
关键词
Chagas disease; immunosupression; polymerase chain reaction; primary infection; solid organ transplantation
This study highlights the importance of early detection of Chagas disease in solid organ transplant recipients through qPCR, with a rapid and favorable treatment outcome and no post-treatment relapse episodes observed among patients.
Chagas disease in solid organ transplant recipients may present as a primary infection (PI). Early detection is crucial for timely treatment. This is the largest observational multicentre study evaluating qPCR for early diagnosis and treatment monitoring of PI in seronegative recipients of organs from seropositive donors. Of 34 patients admitted at 5 health centers, PI was detected by qPCR in 8 (23.5%) within a posttransplant period of 40 days (interquartile range [IQR], 31-50 days). No PI was detected by the Strout test or clinical symptoms/signs. All patients had favorable treatment outcome with negative qPCR 31 days (IQR, 18-35 days) after treatment, with no posttreatment relapse episodes.
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