Premium
Organ transplantation from a donor colonized with a multidrug‐resistant organism: a case report
Author(s) -
Goldberg E.,
Bishara J.,
Lev S.,
Singer P.,
Cohen J.
Publication year - 2012
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/j.1399-3062.2011.00697.x
Subject(s) - medicine , pneumonia , transplantation , intensive care unit , organ transplantation , asymptomatic , kidney transplantation , lung transplantation , liver transplantation , intensive care medicine
The number of intensive care unit patients with infections caused by multidrug‐resistant organisms is increasing in most developed countries. We report the case of a deceased multiorgan donor, who was an asymptomatic carrier of carbapenem‐resistant K lebsiella pneumoniae ( CR ‐ KP ) in the respiratory tract, a condition that was not diagnosed before organ harvesting and transplantation. The outcome of the 2 kidney recipients, the liver recipient, and 1 of the lung recipients was uneventful; in particular, no evidence of infection transmission or adverse graft outcomes was noted. The other lung recipient had a complicated postoperative course and, 4 weeks post transplantation, he developed a bacteremic pneumonia with CR ‐ KP from which he subsequently died. These results suggest that, in well defined conditions, organs from donors who are CR ‐ KP positive may be considered for transplantation.