Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Transplantation
Volume 2016 (2016), Article ID 7920951, 3 pages
http://dx.doi.org/10.1155/2016/7920951
Case Report

Fatal Donor-Derived Carbapenem-Resistant Klebsiella pneumoniae Infection in a Combined Kidney-Pancreas Transplantation

1Kidney Transplant Unit, IRCCS San Martino University Hospital, IST National Institute for Cancer Research, Genoa, Italy
2Department of Infectious Disease, IRCCS San Martino University Hospital, IST National Institute for Cancer Research, Genoa, Italy
3Department of Microbiology, IRCCS San Martino University Hospital, IST National Institute for Cancer Research, Genoa, Italy

Received 5 August 2016; Accepted 28 September 2016

Academic Editor: Graeme Forrest

Copyright © 2016 Giovanni Varotti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Carbapenem-resistant Klebsiella 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.