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Donor‐derived Kaposi's sarcoma in a liver–kidney transplant recipient
Author(s) -
Dollard S. C.,
Douglas D.,
Basavaraju S. V.,
Schmid D. S.,
Kuehnert M.,
Aqel B.
Publication year - 2018
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.14516
Subject(s) - medicine , sarcoma , kidney transplant , kidney , kaposi's sarcoma , kidney transplantation , pathology , human herpesvirus
Human herpes virus 8 ( HHV ‐8), also known as Kaposi's sarcoma associated herpesvirus ( KSHV ), is an oncogenic virus that can cause Kaposi's sarcoma ( KS ). KS can develop following organ transplantation through reactivation of the recipient's latent HHV ‐8 infection, or less commonly through donor‐derived infection which has higher risk for severe illness and mortality. We describe a case of probable donor‐derived KS in the recipient of a liver–kidney transplant. The donor had multiple risk factors for HHV ‐8 infection. The KS was successfully treated by switching immunosuppression from tacrolimus to sirolimus. With an increasing number of human immunodeficiency virus ( HIV )‐positive persons seeking organ transplantation and serving as organ donors for HIV ‐positive recipients, HHV ‐8 prevalence among donors and recipients will likely increase and with that the risk for post‐transplant KS . Predetermination of HHV ‐8 status can be useful when considering organ donors and recipients with risk factors, although there are currently no validated commercial tests for HHV ‐8 antibody screening.