Disseminated Toxoplasmosis, Resulting from Infection of Allograft, after Orthotopic Liver Transplantation: Usefulness of Quantitative PCR

Author:

Botterel F.1,Ichai P.2,Feray C.2,Bouree P.1,Saliba F.2,Tur Raspa R.3,Samuel D.2,Romand S.14

Affiliation:

1. Service de Microbiologie, Departement de Parasitologie-Mycologie, Hopital de Bicetre, Faculté de Médecine Paris-Sud, 94275 Kremlin-Bicetre Cedex

2. Centre Hépatobiliaire, Paul Brousse Hospital, 94804 Villejuif

3. Liver Unit, Rabin Medical Center, Tel Aviv, Israel

4. Institut de Puericulture, F 75014 Paris, France

Abstract

ABSTRACT Disseminated toxoplasmosis is a life-threatening disease in liver transplant recipients that can result from an organ-transmitted infection. We report here a case of fatal disseminated toxoplasmosis after orthotopic liver transplantation from a seropositive donor (immunoglobulin G [IgG] + and IgM ) in a patient who was nonimmune for toxoplasmosis prior to transplantation. Quantitative PCR analyses of various clinical specimens, including serum samples, appeared retrospectively to be a valuable diagnostic tool that might guide therapeutic attitudes.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

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