Enterococcus faecalis

Record number: 
Adverse Occurrence type: 
MPHO Type: 
Time to detection: 
9 days
Alerting signals, symptoms, evidence of occurrence: 
Infected intrabadominal hematoma with Enterococcus faecalis was diagnosed on day +9 after transplantation.
Demonstration of imputability or root cause: 
Donor was on hemodyalisis. Blood cultures were persistently positive during 6 days at admission for Enterococcus faecalis. Donation was performed on day +17 with blood cultures negative. The isolate from the donor was confirmed to be indistinguishable from that of the liver recipient by PFGE (pulsed field gel electrophoresis).
Imputability grade: 
3 Definite/Certain/Proven
Suggest references: 
Miceli MH, Gonulalan M, Perri MB, Samuel L, Al Fares MA, Brown K, et al. Transmission of infection to liver transplant recipients from donors with infective endocarditis: lessons learned. Transpl Infect Dis 2015;17:140-6.