Adverse Occurrence type:
Time to detection:
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).
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.