Record number:
582
Adverse Occurrence type:
MPHO Type:
Time to detection:
5 months
Alerting signals, symptoms, evidence of occurrence:
34-year-old woman underwent knee reconstruction due to old injury requiring internal fixation and femoral head allograft use. Femoral head donor not tested for HIV. Five months later, she was hospitalized for a painful thigh and HIV antibody screening was done and found positive. No signs or symptoms of clinical HIV infection were reported. The transmission was assumed to be from an untested 50-year-old man from whom the femoral head was procured when he underwent a hip replacement for left femoral neck fracture. Donor and recipient details are not provided.
Demonstration of imputability or root cause:
Level 2. Possible transmission (donor not tested). Without a positive donor test and certainty that the infected recipient did not acquire HIV from another source (e.g., drug injection, infected sexual partner etc), this report does not provide evidence of a link between the donor and recipient beyond coincidence.
Imputability grade:
1 Possible
Keywords:
Suggest references:
aaa