title: Severe infection in a lung transplant recipient caused by donor-transmitted carbapenem-resistant Acinetobacter baumannii.
abstract: We describe a case of proven donor transmission of carbapenem-resistant Acinetobacter baumannii, which resulted in severe infectious complications after lung transplantation. A single bla(OXA-23) positive strain, belonging to a new multilocus sequence type (ST231), was isolated from donor and recipient, who died 65 days after transplantation. This report highlights the current challenges associated with the potential transmission of multidrug-resistant infections through organ transplantation.
authors.affiliation: Instituto de Microbiologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: N
authors.initials: N
authors.lastname: Martins
authors.forename: I S
authors.initials: IS
authors.lastname: Martins
authors.forename: W V
authors.initials: WV
authors.lastname: de Freitas
authors.forename: J A
authors.initials: JA
authors.lastname: de Matos
authors.forename: A C G
authors.initials: AC
authors.lastname: Magalhães
authors.forename: V B C
authors.initials: VB
authors.lastname: Girão
authors.forename: R C S
authors.initials: RC
authors.lastname: Dias
authors.forename: T C
authors.initials: TC
authors.lastname: de Souza
authors.forename: F L P C
authors.initials: FL
authors.lastname: Pellegrino
authors.forename: L D
authors.initials: LD
authors.lastname: Costa
authors.forename: C H R
authors.initials: CH
authors.lastname: Boasquevisque
authors.forename: S A
authors.initials: SA
authors.lastname: Nouér
authors.forename: L W
authors.initials: LW
authors.lastname: Riley
authors.forename: G
authors.initials: G
authors.lastname: Santoro-Lopes
authors.forename: B M
authors.initials: BM
authors.lastname: Moreira
mesh_terms: D000151:Acinetobacter Infections / Q000175:diagnosis / Q000188:drug therapy / Q000635:transmission*; D040981:Acinetobacter baumannii / Q000187:drug effects / Q000302:isolation & purification*; D016470:Bacteremia / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015780:Carbapenems / Q000627:therapeutic use*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D013997:Time Factors; D014019:Tissue Donors; D018440:beta-Lactam Resistance
chemical_list: D015780:Carbapenems