Record number:
597
Adverse Occurrence type:
MPHO Type:
Estimated frequency:
3 of 6 recipients ( 0 of 2 corneas)
Time to detection:
45 days
Alerting signals, symptoms, evidence of occurrence:
Altered mental status,respiratory distress and fever
Demonstration of imputability or root cause:
Certain. Uncommon disease in donor and 3 recipients (liver, kidneys, pancreas).
In the course of a routine look-back procedure on day 45 after transplantation, similarity of symptoms of recipient 4 with those of the donor was notified (altered mental status,respiratory distress and fever) . Similar findings were also confirmed in recipients 5 and 6. Rabies virus transmitted to lung, kidney and kidney/pancreas but not liver recipient (had rabies vaccine many years previously)
Imputability grade:
3 Definite/Certain/Proven
Keywords:
References:
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