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Year : 2022  |  Volume : 16  |  Issue : 5  |  Page : 53-56

Endemic viral disease - Expert group opinion for solid organ transplant recipients in South Asia – Dengue, chikungunya, Zika, rabies, Japanese encephalitis, and Nipah virus

1 Adjunct Prof Infectious Diseases - Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
2 Consultant Infectious Diseases and Tropical Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India
3 Fellow Infectious Diseases, Apollo Hospitals, Chennai, Tamil Nadu, India
4 Department of Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
5 Consultant Nephrology, Teaching Hospital, Candy, Srilanka
6 Department of Nephrology and Renal Transplant Medicine, Medanta Kidney and Urology Institute, Medanta Medicity, Gurugram, Haryana, India

Correspondence Address:
Dr. Venktasubramanian Ramsubramanian
Apollo Hospitals, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijot.ijot_127_21

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South Asia is endemic to many virus infections such as arboviruses such as dengue virus, chikungunya virus, Zika virus, Japanese encephalitis (JE) virus, and rabies virus. Arbovirus infections present as fever, rash, arthralgia, myalgia, etc., Although transmission of these viruses has rarely been reported in organ transplants, in the endemic season, there is a possibility as the donor might be in an incubation period. Donor deferral for at least 30 days is advised in any donor with confirmed or suspected cases of arboviral infection. Rabies and JE can cause encephalitis and remain undiagnosed many times, so donors with unknown etiology of encephalitis should be excluded from donation. Nipah virus is an emerging virus, which is reported mainly from Bangladesh, Siliguri, and Kerala in India, however, no case of donor-derived infection has been reported yet.

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