Considerations on infectious complications using a drowned lung for transplantation.
Recently, the applicability of lungs from drowned victims for transplantation has been anecdotically described in literature. However, no data exist about hazards or limitations. Herein, we describe a case of lung transplantation from a submersion victim and the subsequent development of an Aeromonas hydrophila infection in the implanted organ. Based on this case we propose standard procedures, which should be followed when considering drowned donor lungs, in order to minimize risks for infectious complications.
Hoetzenecker
Konrad
K
Department of Cardiothoracic Surgery, Medical University of Vienna, Vienna, Austria.
Ankersmit
Hendrik J
HJ
Lang
György
G
Scheed
Axel
A
Marta
Gabriel
G
Jaksch
Peter
P
Klepetko
Walter
W
D000328:Adult; D016980:Aeromonas hydrophila / Q000302:isolation & purification; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology*; D046148:Donor Selection / Q000379:methods; D004332:Drowning; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology; D029424:Pulmonary Disease, Chronic Obstructive / Q000601:surgery*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology*; D014019:Tissue Donors; D009927:Tissue and Organ Procurement; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
D015662:Trimethoprim, Sulfamethoxazole Drug Combination