Fatal pneumonia caused by Panton-Valentine Leucocidine-positive methicillin-resistant Staphylococcus aureus (PVL-MRSA) transmitted from a healthy donor in living-donor liver transplantation

DOI to cite this document:

10.5283/epub.826 Copy

Obed, Aiman ; Schnitzbauer, Andreas A. ; Bein, Thomas ; Lehn, Norbert ; Linde, Hans-Jörg ; Schlitt, Hans J.

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Date of publication of this fulltext: 05 Aug 2009 13:24

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Details

Item type:	Article
Journal or Publication Title:	Transplantation
Volume:	81
Number of Issue or Book Chapter:	1
Page Range:	pp. 121-124
Date:	15 January 2006
Institutions:	Medicine > Lehrstuhl für Chirurgie
Identification Number:	Value Type 16421487 PubMed ID
Dewey Decimal Classification:	600 Technology > 610 Medical sciences Medicine
Status:	Published
Refereed:	Yes, this version has been refereed
Created at the University of Regensburg:	Yes
Item ID:	826

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Abstract

Severe infections are the most dangerous complications in liver transplantation and their prevention is one of the major goals. A 60-year-old Saudi-Arabian female with decompensated hepatitis C liver cirrhosis received a right-lobe liver graft from her healthy daughter. After 9 days, the patient developed a rapidly progressive necrotizing pneumonia that was fatal in spite of extracorporal lung ...

Abstract

Severe infections are the most dangerous complications in liver transplantation and their prevention is one of the major goals. A 60-year-old Saudi-Arabian female with decompensated hepatitis C liver cirrhosis received a right-lobe liver graft from her healthy daughter. After 9 days, the patient developed a rapidly progressive necrotizing pneumonia that was fatal in spite of extracorporal lung assist. The pneumonia was due to a Panton-Valentine Leucocidine-positive (PVL) methicillin-resistant Staphylococcus aureus (MRSA), or "community-acquired" MRSA, that had not been detectable in the patient preoperatively. The same strain of PVL-MRSA could be demonstrated in the nares of the asymptomatic donor, but not of other relatives, patients, or medical staff. These findings strongly suggest transmission of PVL-MRSA from the donor to the recipient. This case demonstrates a previously unknown, and potentially fatal, risk in living-donor liver transplantation: transmission of a severe infection from a healthy donor to the recipient.

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Metadata last modified: 26 Nov 2020 17:44

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