How is the risk of coccidioidomycosis transmitted by donor organ managed?

Updated: Aug 27, 2019
  • Author: Duane R Hospenthal, MD, PhD, FACP, FIDSA, FASTMH; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

The history of the donor is as important as that of the recipient, but is not always available. Several case reports have highlighted the possibility of coccidioidomycosis transmitted from donated kidneys, livers, and especially lungs. Receiving an organ from a previously infected donor does not always result in active infection, however. [91] Nevertheless, coccidioidemia has occurred, and autopsy findings revealed microabscesses in several organs. Lifelong prophylaxis is recommended.


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