MedicineInfectious DiseasesNephrologyDialysisHemodialysisKidney TransplantationDeceased Donor Kidney TransplantationMalariaRenal DiseaseTransplant Infectious ComplicationsDonor Kidney EvaluationLactated Ringer Solution UseMalaria ParasitesParasitic Renal DiseaseRenal PathogenesisToxoplasmosis Pathology
COMPLICATIONS by the protozoan infections toxoplasmosis<sup>1</sup>and pneumocystis<sup>2</sup>have been described in recipients of renal transplants. We report here a case of kidney transplantation complicated by malaria. <h3>Report of a Case</h3> 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