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Uttam Tripathy
Jolene M. Kriett
Patricia A. Thistlethwaite
David P. Kapelanski
Stuart W. Jamieson
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Ann Thorac Surg 2002;73:306-308
© 2002 The Society of Thoracic Surgeons

Case report

Donor transfer of pulmonary coccidioidomycosis in lung transplantation

Uttam Tripathy, MDa, Gordon L. Yung, MBBS*b, Jolene M. Kriett, MDa, Patricia A. Thistlethwaite, MDa, David P. Kapelanski, MDa, Stuart W. Jamieson, FRCSa

a Division of Cardiothoracic Surgery, University of California, San Diego, California, USA
b Division of Pulmonary and Critical Care Medicine, University of California, San Diego, California, USA

Accepted for publication March 27, 2001.

* Address reprint requests to Dr Yung, UCSD Medical Center, 200 W Arbor Dr, San Diego, CA 92103-8373, USA
e-mail: gyung{at}ucsd.edu

Transplant recipients living in endemic areas are at high risk of aerosol-transmitted fungal infections because of environmental exposure while on immunosuppressive drugs, as well as reactivation of latent infection from either the patient’s or the donor’s organs. The latter may account for early development of coccidioidomycosis after transplantation. We describe a case of pulmonary coccidioidomycosis in a lung transplant recipient who acquired the infection from the donor lung and presented with fulminant pneumonia in the immediate postoperative period.




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