Successful transplantation of organs retrieved from a donor with enterococcal endocarditis

TitleSuccessful transplantation of organs retrieved from a donor with enterococcal endocarditis
Publication TypeJournal Article
Year of Publication1998
AuthorsCaballero F, Lopez-Navidad A, Domingo P, Sola R, Guirado L, Figueras J
JournalTransplant international : official journal of the European Society for Organ Transplantation
Pagination387 - 9
Type of ArticleCase Reports
ISSN0934-0874 (Print) 0934-0874 (Linking)
Accession Number9787417
Keywords*Enterococcus faecalis, *Kidney Transplantation, *Liver Transplantation, *Tissue Donors, Adult, Brain Death, Cerebral Infarction / etiology, Endocarditis, Bacterial / *complications, Female, Gram-Positive Bacterial Infections / *complications, Humans, Male, Middle Aged

We report on a patient with an extensive cerebral infarction secondary to enterococcal endocarditis that, in spite of adequate antibiotic treatment, evolved to brain death. The patient was evaluated as a potential organ donor; renal and liver function were normal and both liver and kidneys appeared normal on ultrasonographic examination. When negativity of serial blood and urine cultures was ascertained, liver and kidneys were retrieved for transplantation. The organs were transplanted into three recipients with good results after 14 months of follow-up. All of the recipients received antibiotic prophylaxis against Enterococcus faecalis. None of them has presented infectious complications to date. This case emphasizes that patients with enterococcal endocarditis may be potential organ donors provided both donor and recipients are adequately treated. This is especially important when organs are urgently needed.

Alternate JournalTranspl Int
Notify Library Reference ID274

Related Incidents