Successful transplantation of organs retrieved from a donor with enterococcal endocarditis.
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.
Caballero
F
F
Transplant Coordination Unit, Hospital de la Santa Creu i Sant Pau, Fundació Puigvert, Universitat Autònoma de Barcelona, Spain.
López-Navidad
A
A
Domingo
P
P
Solà
R
R
Guirado
L
L
Figueras
J
J
D000328:Adult; D001926:Brain Death; D002544:Cerebral Infarction / Q000209:etiology; D004697:Endocarditis, Bacterial / Q000150:complications*; D013293:Enterococcus faecalis; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000150:complications*; D006801:Humans; D016030:Kidney Transplantation; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D014019:Tissue Donors