Donor transfer of pulmonary coccidioidomycosis in lung transplantation

TitleDonor transfer of pulmonary coccidioidomycosis in lung transplantation
Publication TypeJournal Article
Year of Publication2002
AuthorsTripathy U, Yung GL, Kriett JM, Thistlethwaite PA, Kapelanski DP, Jamieson SW
JournalAnn Thorac Surg
Volume73
Issue1
Pagination306 - 8
Date PublishedJan
ISSN0003-4975 (Print) 0003-4975 (Linking)
Accession Number11834038
KeywordsAdult, Antifungal Agents / therapeutic use, Coccidioidomycosis / drug therapy / *etiology, Fluconazole / therapeutic use, Humans, Lung Diseases, Fungal / drug therapy / *etiology, Lung Transplantation / *adverse effects, Male
Abstract

Transplant recipients living in endemic areas are at high risk of aerosol-transmitted fungal infections because of environmental exposure while on immunosuppressive drugs, as well as reactivation of latent infection from either the patient's or the donor's organs. The latter may account for early development of coccidioidomycosis after transplantation. We describe a case of pulmonary coccidioidomycosis in a lung transplant recipient who acquired the infection from the donor lung and presented with fulminant pneumonia in the immediate postoperative period.

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