[Skip to Content]
[Skip to Content Landing]
October 17, 1980

Renal Transplant-Associated Malaria

Author Affiliations

From the Departments of Medicine (Dr Lefavour) and Surgery (Dr Pierce) and the Division of Tropical Medicine, School of Public Health (Dr Frame), Columbia University College of Physicians and Surgeons, and the Nephrology (Dr Lefavour) and Transplantation (Dr Pierce) Services, St Luke's Hospital Center, New York. Dr Pierce is now with the Geisinger Medical Center, Danville, Pa.

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