@article {1723,
	title = {Fatal pneumonia caused by Panton-Valentine Leucocidine-positive methicillin-resistant Staphylococcus aureus (PVL-MRSA) transmitted from a healthy donor in living-donor liver transplantation},
	journal = {Transplantation},
	volume = {81},
	year = {2006},
	note = {JID: 0132144; CIN: Transplantation. 2006 Jan 15;81(1):16. PMID: 16421470; ppublish},
	month = {Jan 15},
	pages = {121 - 124},
	address = {United States},
	abstract = {Severe infections are the most dangerous complications in liver transplantation and their prevention is one of the major goals. A 60-year-old Saudi-Arabian female with decompensated hepatitis C liver cirrhosis received a right-lobe liver graft from her healthy daughter. After 9 days, the patient developed a rapidly progressive necrotizing pneumonia that was fatal in spite of extracorporal lung assist. The pneumonia was due to a Panton-Valentine Leucocidine-positive (PVL) methicillin-resistant Staphylococcus aureus (MRSA), or "community-acquired" MRSA, that had not been detectable in the patient preoperatively. The same strain of PVL-MRSA could be demonstrated in the nares of the asymptomatic donor, but not of other relatives, patients, or medical staff. These findings strongly suggest transmission of PVL-MRSA from the donor to the recipient. This case demonstrates a previously unknown, and potentially fatal, risk in living-donor liver transplantation: transmission of a severe infection from a healthy donor to the recipient.},
	keywords = {Adult, Female, Health, Humans, Liver Transplantation, Living Donors, Methicillin Resistance, Middle Aged, Pneumonia, Staphylococcal / microbiology / radiography / transmission, Staphylococcus aureus / physiology, Treatment Failure},
	issn = {0041-1337; 0041-1337},
	author = {Obed,A. and Schnitzbauer,A. A. and Bein,T. and Lehn,N. and Linde,H. J. and Schlitt,H. J.}
}
