TY - JOUR T1 - Transmission of Methicillin-Resistant Staphylococcus aureus via Deceased Donor Liver Transplantation Confirmed by Whole Genome Sequencing. JF - //Am J Transplant Y1 - 2014 A1 - Altman, D. A1 - Sebra, R. A1 - Hand, J. A1 - Attie, O. A1 - Deikus, G. A1 - Carpini, K. A1 - Patel, G. A1 - Rana, M. A1 - Arvelakis, A. A1 - Grewal, P. A1 - Dutta, J. A1 - Rose, H. A1 - Shopsin, B. A1 - Daefler, S. A1 - Schadt, E. A1 - Kasarskis, A. A1 - van Bakel, H. A1 - Bashir, A. A1 - Huprikar, S. AB - : Donor-derived bacterial infection is a recognized complication of solid organ transplantation (SOT). The present report describes the clinical details and successful outcome in a liver transplant recipient despite transmission of methicillin-resistant Staphylococcus aureus (MRSA) from a deceased donor with MRSA endocarditis and bacteremia. We further describe whole genome sequencing (WGS) and complete de novo assembly of the donor and recipient MRSA isolate genomes, which confirms that both isolates are genetically 100% identical. We propose that similar application of WGS techniques to future investigations of donor bacterial transmission would strengthen the definition of proven bacterial transmission in SOT, particularly in the presence of highly clonal bacteria such as MRSA. WGS will further improve our understanding of the epidemiology of bacterial transmission in SOT and the risk of adverse patient outcomes when it occurs., This report describes a successful outcome in a liver transplant recipient after deceased donor transmission of methicillin-resistant Staphylococcus aureus confirmed by whole genome sequencing. Also see case report by Wendt et al on page 2633., (C) 2014 John Wiley & Sons, Ltd M1 - 100968638 PB - (1)Division of Infectious Diseases, Department of Medicine, Icahn School of Medicine, New York, NY,(2)Institute and Department of Genetics and Genomic Sciences, Icahn School of Medicine, New York, NY,(3)New York Organ Donor Network, New York, NY,(4)Recana CY - (C) 2014 John Wiley & Sons, Ltd VL - 14 SN - 1600-6135 CP - 11 L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=ovftp&NEWS=N&AN=00024798-201411000-00025 ID - 4270 ER -