{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T21:40:04Z","timestamp":1789940404911,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,4,8]],"date-time":"2012-04-08T00:00:00Z","timestamp":1333843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A male Caucasian patient developed nodular erythematous skin lesions, malaise, and clinical signs of progressive heart failure 4\u00a0months after renal transplantation. Bronchoscopy with bronchoalveolar lavage performed for a small infiltrate seen on a computed tomography scan revealed <jats:italic><jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>rypanosoma<\/jats:italic>, which had at this point not been suspected as a cause. Parasitemia was present, and reactivation rather than transmission of Chagas' disease was established by performing polymerase chain reaction and serology in the donor and recipient. Treatment with benznidazole and allopurinol successfully reduced parasitemia, but the clinical course was fatal owing to progression of severe myocarditis. The patient had never lived in an endemic area, but had an extensive travel history in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>outh <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merica. The last visit was more than 5\u00a0years before transplantation. In non\u2010endemic countries (<jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>nited <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tates, <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>urope), reactivation after transplantation has only been very rarely reported. Given the rising numbers of transplantations in patients with a migration background and extensive travel histories, specific screening procedures have to be considered.<\/jats:p>","DOI":"10.1111\/j.1399-3062.2012.00731.x","type":"journal-article","created":{"date-parts":[[2012,4,9]],"date-time":"2012-04-09T01:09:29Z","timestamp":1333933769000},"page":"391-397","source":"Crossref","is-referenced-by-count":21,"title":["Skin lesions, malaise, and heart failure in a renal transplant recipient"],"prefix":"10.1111","volume":"14","author":[{"given":"C.","family":"Kocher","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases and Hospital Epidemiology University Hospital of Zurich Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Segerer","sequence":"additional","affiliation":[{"name":"Division of Nephrology University Hospital of Zurich Zurich 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