@article {282,
	title = {Renal artery rupture secondary to pretransplantation Candida contamination of the graft in two different recipients},
	journal = {Am J Kidney Dis},
	volume = {33},
	year = {1999},
	note = {Calvino, J Romero, R Pintos, E Novoa, D Mardaras, J Arcocha, V Lens, X M Sanchez-Guisande, D Case Reports United states American journal of kidney diseases : the official journal of the National Kidney Foundation Am J Kidney Dis. 1999 Jan;33(1):E3.},
	month = {Jan},
	pages = {E3},
	edition = {36232},
	abstract = {Infected graft transplantation is an unwelcome complication that may lead to serious consequences in the immunosuppressed host. It can be caused by infection of the donor or by contamination of the organ during harvest, preservation and handling, or at transplantation. With current donor evaluation protocols, the risk of transmitting infections by exogenous contaminated grafts seems to be more frequent than true donor-transmitted infections. Nevertheless, although rare and usually free of clinically significant sequelae, if contamination is by some virulent organisms such as Staphylococcus aureus, gram-negative bacilli, or fungi, severe complications may occur. We report the clinical outcome of liver, heart, and kidney recipients from a single donor. Both renal allografts had to be removed because of renal artery rupture secondary to Candida albicans infection. Careful donor evaluation before transplantation, unusually early presentation of mycosis leading to anastomotic renal artery disruption, the histopathologic findings of the grafts, and the absence of Candida infection in the liver and heart recipients make us believe that exogenous contamination of the grafts occurred during donor procedure, kidney processing, or at transplantation. In summary, because infected grafts can lead to serious complications, besides careful donor screening, it is important to achieve early recognition of contaminated organs by culturing the perfusate to start specific antibiotic or antifungal therapy after transplantation if necessary and avoid the rare but, in this case, fatal consequences of these infections.},
	keywords = {Adolescent, Adult, Amphotericin B / therapeutic use, Anastomosis, Surgical / adverse effects, Aneurysm, Ruptured / *etiology / surgery / ultrasonography, Antifungal Agents / therapeutic use, Candidiasis / diagnosis / drug therapy / *etiology, Carcinoma, Hepatocellular / surgery, Female, Heart Transplantation, Humans, Kidney Failure, Chronic / *surgery, Kidney Transplantation / *adverse effects, Liver Neoplasms / surgery, Liver Transplantation, Male, Middle Aged, Renal Artery / surgery / *ultrasonography, Reoperation, Tissue Donors},
	issn = {1523-6838 (Electronic) 0272-6386 (Linking)},
	doi = {S0272-6386(99)70292-1 [pii]},
	author = {Calvino,J. and Romero,R. and Pintos,E. and Novoa,D. and Mardaras,J. and Arcocha,V. and Lens,X. M. and Sanchez-Guisande,D.}
}
