Transmission of Cryptococcus neoformans by Organ Transplantation.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 21220771.
- Also identified by DOI 10.1093/cid/ciq216.
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Abstract
This article describes transmission of Cryptococcus neoformans by solid organ transplantation. We reviewed medical records and performed molecular genotyping of isolates to determine potential for donor transmission of Cryptococcus. Cryptococcosis was diagnosed in 3 recipients of organs from a common donor with an undifferentiated neurologic condition at the time of death. Cryptococcal meningoencephalitis was later diagnosed in the donor at autopsy. The liver and 1 kidney recipient developed cryptococcemia and pneumonia and the other kidney recipient developed cryptococcemia and meningitis; 2 patients recovered with prolonged antifungal therapy. We tested 4 recipient isolates with multilocus sequence typing and found they had identical alleles. Our investigation documents the transmission of Cryptococcus neoformans by organ transplantation. Evaluation for cryptococcosis in donors with unexplained neurologic symptoms should be strongly considered.
Medical subject headings
- Cryptococcosis
- Cryptococcus neoformans
- Organ Transplantation