@article {4591,
	title = {Coccidioidomycosis in healthy persons evaluated for liver or kidney donation.},
	journal = {Transplant infectious disease : an official journal of the Transplantation Society//Transpl Infect Dis},
	volume = {9},
	year = {2007},
	month = {2007},
	pages = {78 - 82},
	address = {Denmark},
	abstract = {Coccidioidomycosis is a fungal infection caused by Coccidioides species endemic to the southwestern United States, where it poses unique challenges for transplant recipients. Donor-derived coccidioidomycosis has been documented, but its risk of transmission is not known. We prospectively screened 568 healthy persons requesting evaluation for possible liver or kidney donation. Twelve (2.1\%) of the 568 donor candidates were seropositive (11 initially and 1 with seroconversion and symptomatic illness within 1 week after negative screening). Three of these 12 patients proceeded to kidney donation, and a fourth patient proceeded to liver donation. None of the 4 transplant recipients received special coccidioidal prophylaxis, although all were administered fluconazole according to standard antifungal prophylaxis protocols. At follow-up (7-54 months), no coccidioidomycosis was identified in any recipient. The prevalence of coccidioidal antibodies was low among potential organ donor candidates, but the risk of donor-derived coccidioidomycosis remains unknown and further study is warranted.},
	keywords = {*Coccidioides/im [Immunology], *Coccidioidomycosis/ep [Epidemiology], *Coccidioidomycosis/et [Etiology], *Kidney Transplantation/ae [Adverse Effects], *Liver Transplantation/ae [Adverse Effects], *Living Donors, Adult, Antibodies, Fungal/bl [Blood], Coccidioidomycosis/bl [Blood], Female, Humans, Longitudinal Studies, Male, Middle Aged, Organ Transplantation/ae [Adverse Effects], Seroepidemiologic Studies, United States/ep [Epidemiology]},
	isbn = {1398-22731398-2273},
	author = {Blair, J E and Mulligan, D C}
}
