title: Donor-derived Coccidioides immitis fungemia in solid organ transplant recipients.
abstract: We report disseminated coccidioidomycosis in 3 transplant recipients from a donor in an endemic area found to have unrecognized meningeal coccidioidomycosis. All 3 transplant recipients presented within 3 weeks of receipt of their organ. Only 1 organ recipient survived the acute presentation of coccidioidomycosis. Serologic testing for Coccidioides immitis infection should be considered for organ donors residing in endemic areas.
authors.affiliation: Division of Infectious Diseases, Department of Medicine, University of Southern California Keck School of Medicine, Los Angeles, California 90033, USA. eblodget@usc.edu
authors.forename: E
authors.initials: E
authors.lastname: Blodget
authors.forename: P Jan
authors.initials: PJ
authors.lastname: Geiseler
authors.forename: R A
authors.initials: RA
authors.lastname: Larsen
authors.forename: M
authors.initials: M
authors.lastname: Stapfer
authors.forename: Y
authors.initials: Y
authors.lastname: Qazi
authors.forename: L M
authors.initials: LM
authors.lastname: Petrovic
mesh_terms: D000328:Adult; D000368:Aged; D003045:Coccidioides / Q000302:isolation & purification*; D003047:Coccidioidomycosis / Q000175:diagnosis / Q000188:drug therapy / Q000635:transmission*; D005260:Female; D016469:Fungemia / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D014019:Tissue Donors; D020858:Tissue and Organ Harvesting; D019737:Transplants / Q000009:adverse effects; D055815:Young Adult