Record number:
991
Adverse Occurrence type:
MPHO Type:
Time to detection:
3 weeks
Alerting signals, symptoms, evidence of occurrence:
Three weeks after live donor kidney transplantation from a paid drug abusing donor in India, a Slovenian patient developed fevers, E. coli in blood and urine, malaria in blood, Aspergillus terreus in a wound and a necrotic infected kidney and died. Kidney culture found to be positive for Mycobacterium fortuitum. Follow-up quantitative polymerase chain reaction for cytomegalovirus revealed 65.000 copies/ml (reactivation). No donor studies available.
Demonstration of imputability or root cause:
No donor studies but recipient malaria likely came from paid donor from endemic area.
Imputability grade:
1 Possible
Keywords:
Suggest references:
Tomazic, J.; Pirs, M.; Matos, T.; Ferluga, D.; Lindic, J. Multiple infections after commercial renal transplantation in India Nephrol Dial Transplant 2007; 22 (3) :972 - 3