1. High clinical suspicion of donor-derived disease leads to timely recognition and early intervention to treat solid organ transplant-transmitted lymphocytic choriomeningitis virus.
- Author
-
Mathur G, Yadav K, Ford B, Schafer IJ, Basavaraju SV, Knust B, Shieh WJ, Hill S, Locke GD, Quinlisk P, Brown S, Gibbons A, Cannon D, Kuehnert M, Nichol ST, Rollin PE, Ströher U, and Miller R
- Subjects
- Aged, Donor Selection, Early Medical Intervention, Fatal Outcome, Female, Humans, Immunosuppression Therapy, Kidney pathology, Kidney virology, Liver pathology, Liver virology, Lymphocytic Choriomeningitis etiology, Lymphocytic Choriomeningitis pathology, Lymphocytic choriomeningitis virus genetics, Male, Middle Aged, Tissue Donors, Transplant Recipients, Transplantation, Homologous, Kidney Transplantation adverse effects, Liver Transplantation adverse effects, Lymphocytic Choriomeningitis diagnosis, Lymphocytic choriomeningitis virus isolation & purification
- Abstract
Despite careful donor screening, unexpected donor-derived infections continue to occur in organ transplant recipients (OTRs). Lymphocytic choriomeningitis virus (LCMV) is one such transplant-transmitted infection that in previous reports has resulted in a high mortality among the affected OTRs. We report a LCMV case cluster that occurred 3 weeks post-transplant in three OTRs who received allografts from a common organ donor in March 2013. Following confirmation of LCMV infection at Centers for Disease Control and Prevention, immunosuppression was promptly reduced and ribavirin and/or intravenous immunoglobulin therapy were initiated in OTRs. The liver recipient died, but right kidney recipients survived without significant sequelae and left kidney recipient survived acute LCMV infection with residual mental status deficit. Our series highlights how early recognition led to prompt therapeutic intervention, which may have contributed to more favorable outcome in the kidney transplant recipients., (© 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
- Published
- 2017
- Full Text
- View/download PDF