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Solid Organ Transplant-Transmitted Tuberculosis Linked to a Community Outbreak - California, 2015.

Abstract In the spring of 2015, a local health department (LHD) in county A notified the California Department of Public Health (CDPH) about three adults with close ties to one another and a congregate community site who had received diagnoses of tuberculosis (TB) disease within a 3-month period. Subsequent review revealed matching TB genotypes indicating that the cases were likely part of a chain of TB transmission. Only three TB cases in California in the preceding 2 years shared this same genotype. One of those three previous cases occurred in a lung-transplant recipient who had no identified epidemiologic links to the outbreak. CDPH, multiple LHDs, and CDC conducted an investigation and determined that the lung-transplant donor (patient 1) was epidemiologically linked to the three outbreak cases and had a tuberculin skin test (TST) conversion detected in 2012 upon reentry at a local jail. Three other solid organ recipients from this donor were identified; none had developed TB disease. This investigation suggests that review of organ donors' medical records from high-risk environments, such as jails, might reveal additional information about TB risk. The evaluation of TB in organ recipients could include genotyping analysis (1) and coordination among local, state, and national partners to evaluate the potential for donor-derived TB.
PMID
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Authors

Mayor MeshTerms

Disease Outbreaks

Keywords
Journal Title mmwr. morbidity and mortality weekly report
Publication Year Start




PMID- 28771459
OWN - NLM
STAT- MEDLINE
DA  - 20170803
DCOM- 20170808
LR  - 20170808
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 66
IP  - 30
DP  - 2017 Aug 04
TI  - Solid Organ Transplant-Transmitted Tuberculosis Linked to a Community Outbreak - 
      California, 2015.
PG  - 801-805
LID - 10.15585/mmwr.mm6630a1 [doi]
AB  - In the spring of 2015, a local health department (LHD) in county A notified the
      California Department of Public Health (CDPH) about three adults with close ties 
      to one another and a congregate community site who had received diagnoses of
      tuberculosis (TB) disease within a 3-month period. Subsequent review revealed
      matching TB genotypes indicating that the cases were likely part of a chain of TB
      transmission. Only three TB cases in California in the preceding 2 years shared
      this same genotype. One of those three previous cases occurred in a
      lung-transplant recipient who had no identified epidemiologic links to the
      outbreak. CDPH, multiple LHDs, and CDC conducted an investigation and determined 
      that the lung-transplant donor (patient 1) was epidemiologically linked to the
      three outbreak cases and had a tuberculin skin test (TST) conversion detected in 
      2012 upon reentry at a local jail. Three other solid organ recipients from this
      donor were identified; none had developed TB disease. This investigation suggests
      that review of organ donors' medical records from high-risk environments, such as
      jails, might reveal additional information about TB risk. The evaluation of TB in
      organ recipients could include genotyping analysis (1) and coordination among
      local, state, and national partners to evaluate the potential for donor-derived
      TB.
FAU - Kay, Alexander
AU  - Kay A
FAU - Barry, Pennan M
AU  - Barry PM
FAU - Annambhotla, Pallavi
AU  - Annambhotla P
FAU - Greene, Carol
AU  - Greene C
FAU - Cilnis, Martin
AU  - Cilnis M
FAU - Chin-Hong, Peter
AU  - Chin-Hong P
FAU - Arger, Nicholas
AU  - Arger N
FAU - McNitt, Louise
AU  - McNitt L
FAU - Neidlinger, Nikole
AU  - Neidlinger N
FAU - Shah, Neha
AU  - Shah N
FAU - Basavaraju, Sridhar V
AU  - Basavaraju SV
FAU - Kuehnert, Matthew
AU  - Kuehnert M
FAU - Shaw, Tambi
AU  - Shaw T
LA  - eng
PT  - Journal Article
DEP - 20170804
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
MH  - Adult
MH  - California/epidemiology
MH  - *Disease Outbreaks
MH  - Genotype
MH  - Humans
MH  - Organ Transplantation/*adverse effects
MH  - Tuberculosis/*epidemiology/genetics/*transmission
EDAT- 2017/08/05 06:00
MHDA- 2017/08/09 06:00
CRDT- 2017/08/04 06:00
AID - 10.15585/mmwr.mm6630a1 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2017 Aug 4;66(30):801-805. doi:
      10.15585/mmwr.mm6630a1.