Acute kidney injury associated with intestinal infection by Cyclospora cayetanensis in a kidney transplant patient. A case report

Parasitol Int. 2021 Feb:80:102212. doi: 10.1016/j.parint.2020.102212. Epub 2020 Oct 26.

Abstract

This study shows a clinical case report of a kidney transplant patient who traveled from Mexico to The Netherlands and ate green vegetables in an international food restaurant. After 5 days, he started having diarrhea, nausea, colic, and a physical feeling of malaise. The patient only received symptomatic treatment after showing the characteristic symptoms of traveler's diarrhea. When he returned to Mexico, the clinical picture worsened, and he was hospitalized. Clinical analyses indicated dehydration and acute kidney injury stage II. Coproparasitoscopic study showed the presence of Cyclospora cayetanensis. Parenteral solutions, gastric mucosal protector, ciprofloxacin, and a soft diet were administrated as treatment. The patient was discharged 72 h later with an improvement of the kidney function.

Keywords: Acute kidney injury; Case report; Cyclospora cayetanensis; Kidney transplant; traveler's diarrhea.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / diagnosis*
  • Acute Kidney Injury / parasitology
  • Adult
  • Air Travel
  • Cyclospora / isolation & purification*
  • Cyclosporiasis / complications*
  • Cyclosporiasis / parasitology
  • Cyclosporiasis / physiopathology
  • Diarrhea / complications*
  • Diarrhea / parasitology
  • Diarrhea / physiopathology
  • Humans
  • Kidney Transplantation*
  • Male
  • Mexico
  • Netherlands
  • Tourism