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October 17, 1980

Renal Transplant-Associated Malaria

JAMA. 1980;244(16):1820-1821. doi:10.1001/jama.1980.03310160036021

COMPLICATIONS by the protozoan infections toxoplasmosis1 and pneumocystis2 have been described in recipients of renal transplants. We report here a case of kidney transplantation complicated by malaria.

Report of a Case  A 27-year-old woman from Ghana had lived in New York for the previous six years except for a visit to Ghana in 1973. At that time, her husband had been hospitalized for a bout of malaria, but she had had no clinical illness. In 1972, toxemia developed during her only pregnancy; after three years of hypertension and renal insufficiency, a program of longterm hemodialysis was started in February 1977.On Jan 26, 1978, the patient received a renal transplant from her 43-year-old mother, who had come from Ghana one month previously for evaluation and subsequent donor nephrectomy. At the time of transplant, blood in the donor kidney was flushed out with a solution of lactated Ringer's with albumin