Status:
Ready to upload
Record number:
1464
Adverse Occurrence type:
MPHO Type:
Estimated frequency:
Up to 10 liver transplants were previously performed with donors infected with schistosoma eggs without disease transmission.
Time to detection:
N/A
Alerting signals, symptoms, evidence of occurrence:
Epithelioid granulomas with necrotic Schistosoma eggs found in the liver biopsy of a living donor who was not treated before donation. Recipient died of sepsis unrelated to schistosomiasis on day +14.
Demonstration of imputability or root cause:
Schistosoma eggs found in liver granulomata without apparent disease transmission to recipient. After the acute phase, S. mansoni remains in the intestine; in the liver, necrotic eggs lead to granulomatous inflammation. Therefore, transmission of Schistosoma via the liver graft is unlikely to occur .
Groups audience:
Keywords:
References:
Suggest references:
Andraus et al, Intentional Use of Schistosoma mansoni–Infected Grafts in Living Donor Liver Transplantation, LIVER TRANSPLANTATION 18:867-868, 2012
Note:
Future category DONOR DISEASE WITHOUT DOCUMENTED TRANSMISSION (Evi)