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01-05-2019 | Clinical Quiz

Persistent fever in a pediatric renal transplant patient: Answers

Authors: Neziha Celebi, Jesus G. Vallejo, Olive S. Eckstein, Jessica Geer, Jyotinder N. Punia, Ewa Elenberg

Published in: Pediatric Nephrology | Issue 5/2019

Excerpt

Figure 1 Bone marrow aspirate (MSN stain) with budding yeast forms. Figure 2. Bone marrow aspirate smear with a rare histiocyte showing hemophagocytosis.

Fungal culture and fungal antigens (blood, bone marrow, spinal fluid)

Final diagnosis is hemophagocytic lymphohistiocytosis secondary to disseminated histoplasmosis.

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Gavalda J, Meije Y, Fortun J, Roilides E, Saliba F, Lortholary O, Munoz P, Grossi P, Cuenca-Estrella M (2014) Invasive fungal infections in solid organ transplant recipients. Clin Microbiol Infect 20(Suppl 7):27–48CrossRefPubMed

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Title: Persistent fever in a pediatric renal transplant patient: Answers
Authors: Neziha Celebi
Jesus G. Vallejo
Olive S. Eckstein
Jessica Geer
Jyotinder N. Punia
Ewa Elenberg
Publication date: 01-05-2019
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Nephrology / Issue 5/2019
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-018-4130-0

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Persistent fever in a pediatric renal transplant patient: Answers

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