{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T07:14:30Z","timestamp":1781939670549,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T00:00:00Z","timestamp":1565654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Yellow fever (YF) is a viral disease, with clinical presentation among immunosuppressed patients not fully understood. YF vaccination (YFV), a live vaccine, is contraindicated in patients receiving immunosuppressive treatment due to the risk of developing the disease after vaccination. We report a case of a 50\u2010year\u2010old male recipient who presented wild\u2010type YF five years after a deceased donor kidney transplant. He lived in a YF endemic area and inadvertently received YFV. One day after YFV, the patient presented nausea, vomiting, fever, diarrhea, polyarthralgia, thrombocytopenia, and increased levels of liver function enzymes. The serological test was compatible with YF disease, and quantitative viral load confirmed the diagnosis of wild\u2010type YF. The patient received supportive care for twelve days, with hospital discharge in good clinical condition and stable renal function. One month after discharge, the patient developed de novo donor\u2010specific anti\u2010HLA antibodies (DSA) and histological evidence of endothelial lesion, with a diagnosis of acute antibody\u2010mediated rejection (AMR), treated with plasmapheresis and human IVIg therapy. Six months after therapy, he presented normal renal function with a reduction of DSA MFI. In the reported case, we observed a clinical wild\u2010type YF diagnosed even after YF vaccine administration, with good clinical outcome. De novo DSA and AMR occurred after the recovering of disease, with an adequate response to therapy and preserved allograft function. We reviewed the published literature on YF and YFV in solid organ transplantation.<\/jats:p>","DOI":"10.1111\/tid.13151","type":"journal-article","created":{"date-parts":[[2019,7,25]],"date-time":"2019-07-25T21:03:45Z","timestamp":1564088625000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Yellow fever disease in a renal transplant recipient: Case report and literature review"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0280-1069","authenticated-orcid":false,"given":"Marcos Vinicius","family":"de Sousa","sequence":"first","affiliation":[{"name":"Renal Transplant Research Laboratory, Renal Transplant Unit, Division of Nephrology, Department of Internal Medicine, School of Medical Sciences University of Campinas\u2010UNICAMP Campinas Sao Paulo Brazil"},{"name":"Laboratory of Translational Immunology, Department of Internal Medicine, School of Medical Sciences University of Campinas\u2010UNICAMP Campinas Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo de Lima","family":"Zollner","sequence":"additional","affiliation":[{"name":"Renal Transplant Research Laboratory, Renal Transplant Unit, Division of Nephrology, Department of Internal Medicine, School of Medical Sciences University of Campinas\u2010UNICAMP Campinas Sao Paulo Brazil"},{"name":"Laboratory of Translational Immunology, Department of Internal Medicine, School of Medical Sciences University of Campinas\u2010UNICAMP Campinas Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel Silveira Bello","family":"Stucchi","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Internal Medicine, School of Medical Sciences University of Campinas\u2010UNICAMP Campinas Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilka de F\u00e1tima Santana Ferreira","family":"Boin","sequence":"additional","affiliation":[{"name":"Liver Transplant Unit, Surgery Department, School of Medical Sciences University of Campinas Campinas Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine Cristina","family":"de Ataide","sequence":"additional","affiliation":[{"name":"Liver Transplant Unit, Surgery Department, School of Medical Sciences University of Campinas Campinas Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilda","family":"Mazzali","sequence":"additional","affiliation":[{"name":"Renal Transplant Research Laboratory, Renal Transplant Unit, Division of Nephrology, Department of Internal Medicine, School of Medical Sciences University of Campinas\u2010UNICAMP Campinas Sao Paulo Brazil"},{"name":"Laboratory of Translational Immunology, Department of Internal Medicine, School of Medical Sciences University of Campinas\u2010UNICAMP Campinas Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjid.2017.02.004"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jix564"},{"key":"e_1_2_8_4_1","unstructured":"Sa\u00fadeBMdSSdA\u00e0.Febre amarela: guia para profissionais de sa\u00fade TT \u2010 Yellow fever: a guide for health professionals. 2017:59."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2011.05.015"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12338"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2019.02.013"},{"issue":"7","key":"e_1_2_8_8_1","first-page":"1","article-title":"Yellow fever vaccine: recommendations of the advisory committee on immunization practices (ACIP)","volume":"59","author":"Staples JE","year":"2010","journal-title":"MMWR Recomm Rep"},{"key":"e_1_2_8_9_1","unstructured":"Minist\u00e9rio da Sa\u00fade Secretaria de Vigil\u00e2ncia em Sa\u00fade D de V das DT.Manual De Normas E Procedimentos Para Vacina\u00e7\u00e3o. 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