From: Dengue fever in renal transplant patients: a systematic review of literature
• | DHF / DSS commoner in subjects on high dose steroids |
• | Secondary infection on cyclosporine, a significantly lesser proportion of patients presented, with less severe disease DHF/DSS vs DF (p = 0.04) |
• | Fever is commoner in patients taking low dose steroids to patients on high-dose steroids (p = 0.013) |
• | The anti-mitotic agents (azathioprine (AZA) or mychophenolate mofetil (MMF)) have no effect; on the severity or duration of thrombocytopenia;leucopenia; and occurrence of gastro-intestinal symptoms. |
• | Mean duration of thrombocytopenia is longer in patients on regimens containing tacrolimus |
• | Patients on tacrolimus containing regimens have a higher mortality (p = 0.02) |
• | Percentage rise in creatinine from pre-dengue levels was higher in DHF/DSS patients than in DF patients (p < 0.001) |
• | Majority (85.7%) who had graft dysfunction, creatinine returned to base line by 12.6 days, whereas in 14.3% it persisted beyond 6 weeks. |
• | All the patients who died had graft dysfunction |
• | Of 21 patients who were IgM positive and IgG negative in the initial sample, 10 (48%) had not mounted an IgG response by an average of 15 weeks |
• | No statistically significant difference was found in the number of years as transplantation of those who survived vs. those who died |