Organ transplantation from a donor colonized with a multidrug‐resistant organism: a case report

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.