Fatal Donor-Derived Carbapenem-ResistantKlebsiella pneumoniaeInfection in a Combined Kidney-Pancreas Transplantation.
Carbapenem-resistantKlebsiella pneumoniae(CR-KP) infections in solid organ transplant recipients are associated with high morbidity and mortality. We report a case of a fatal donor-derived CR-KP infection in a combined kidney-pancreas transplant. Given the short interval of time between donor hospitalization and organ procurement, information concerning the donor CR-KP positivity arrived only 72 hours after transplant. Based on this experience, we believe that knowledge of the donor's CR-KP status should be mandatory before procurement and, if positive, pancreas donation should be contraindicated.
Kidney Transplant Unit, IRCCS San Martino University Hospital, IST National Institute for Cancer Research, Genoa, Italy.
Giovanni
0000-0001-9966-9449
G
Varotti
Department of Infectious Disease, IRCCS San Martino University Hospital, IST National Institute for Cancer Research, Genoa, Italy.
Ferdinando
F
Dodi
Department of Microbiology, IRCCS San Martino University Hospital, IST National Institute for Cancer Research, Genoa, Italy.
Anna
A
Marchese
Kidney Transplant Unit, IRCCS San Martino University Hospital, IST National Institute for Cancer Research, Genoa, Italy.
Alessia
A
Terulla
Kidney Transplant Unit, IRCCS San Martino University Hospital, IST National Institute for Cancer Research, Genoa, Italy.
Massimo
M
Bertocchi
Kidney Transplant Unit, IRCCS San Martino University Hospital, IST National Institute for Cancer Research, Genoa, Italy.
Iris
I
Fontana