Notes from the field: transplant-transmitted Balamuthia mandrillaris --- Arizona, 2010

TitleNotes from the field: transplant-transmitted Balamuthia mandrillaris --- Arizona, 2010
Publication TypeJournal Article
Year of Publication2010
JournalMMWR Morb Mortal Wkly Rep
Date PublishedSep 17
ISSN1545-861X (Electronic) 0149-2195 (Linking)
Accession Number20847722
KeywordsAdult, Amebiasis / diagnosis / drug therapy / pathology / *transmission, Amoebozoa / genetics / immunology / *isolation & purification, Antigens, Protozoan / analysis, Arizona, Brain / parasitology / pathology, DNA, Protozoan / analysis, Encephalitis / diagnosis / drug therapy / *etiology / pathology, Fatal Outcome, Humans, Magnetic Resonance Imaging, Organ Transplantation / *adverse effects, Tissue Donors

On August 23, 2010, CDC was notified regarding two organ transplant recipients in Arizona who had encephalitis with multiple ring-enhancing lesions revealed by cerebral magnetic resonance imaging. The common organ donor, a Hispanic male landscaper aged 27 years, had died in Arizona from a presumed stroke on July 21. He had a large skin lesion for approximately 6 months on his back that he had attributed to an insect bite. The ill recipients, a male liver recipient aged 56 years, and a male recipient of a kidney and pancreas aged 24 years, received organ transplants on July 22. In addition, two other recipients received organs from this donor: an adult male heart recipient received his transplant in California on July 22, and an adult male kidney recipient received his transplant in Utah on July 23.

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