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Mueller NJ et al. – The growing need for organs and the scarcity of donors has resulted in an increased use of extended criteria donors. The authors report a case where a recipient of a cardiac graft was used as an organ donor.


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Nicolas Mueller, 10/20/09

Due to the organ shortage, donor criteria have been extended. Donors with treated infections are not longer refused if some criteria are met. However, the need for organs must be balanced against the risk of donor-derived infection. The report highlights a case where a recipient of a recent heart graft was used as a donor. Transmission of Aspergillus occurred, resulting in a kidney graft loss, whereas the the other kidney and liver graft could be safed after initiation of antifungal therapy.

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