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Volume 27, Number 2—February 2021
Dispatch

SARS-CoV-2 Infections among Recent Organ Recipients, March–May 2020, United States

Jefferson M. JonesComments to Author , Ian Kracalik, Meenakshi M. Rana, Ann Nguyen, Brian C. Keller, Aaron Mishkin, Charles Hoopes, Thomas Kaleekal, Abhinav Humar, Juan Vilaro, Gene Im, Lou Smith, April Justice, Collette Leaumont, Stephen Lindstrom, Brett Whitaker, Ricardo M. La Hoz, Marian G. Michaels, David Klassen, Wendi Kuhnert, and Sridhar V. Basavaraju
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (J.M. Jones, I. Kracalik, C. Leaumont, S. Lindstrom, B. Whitaker, W. Kuhnert, S.V. Basavaraju); Icahn School of Medicine at Mount Sinai, New York, New York, USA (M.M. Rana, G. Im); University of Chicago, Chicago, Illinois, USA (A. Nguyen); The Ohio State University College of Medicine, Columbus, Ohio, USA (B.C. Keller); Temple University, Philadelphia, Pennsylvania, USA (A. Mishkin); University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA (C. Hoopes); Robert Wood Johnson University, New Brunswick, New Jersey, USA (T. Kaleekal); University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (A. Humar, M.G. Michaels); University of Florida College of Medicine, Gainesville, Florida, USA (J. Vilaro); New York State Department of Health, Albany, New York, USA (L. Smith); Ohio Department of Health, Columbus (A. Justice); University of Texas Southwestern Medical Center, Dallas, Texas, USA (R.M. La Hoz); United Network of Organ Sharing, Richmond, Virginia, USA (D. Klassen)

Main Article

Table 1

Epidemiologic and clinical characteristics of solid organ donors associated with potential SARS-CoV-2 transmission investigations, United States, March–May 2020*

Donor Cause of death Organs procured from donor and transplanted into other recipients Chest radiograph and chest CT findings Donor lung disposition Results of BAL PCR Results of serum PCR Results of nasopharyngeal PCR
A
 Hemorrhagic stroke
 Bilateral lungs, liver, left kidney
 Bilateral lower lobe consolidations
 Both lungs transplanted
 Negative
 Negative
 NT
B
 Ischemic stroke
 Right lung, liver, left kidney
 Bilateral lower lobe consolidations
 Single lung not allocated in time
 NT
 Negative
 NT
C
 Opioid overdose
 Bilateral lungs, liver, left kidney, right kidney, pancreas
 Bilateral lower lobe consolidations
 Both lungs transplanted
 NT
 Negative
 NT
D
 Head trauma
 Liver, left kidney, right kidney, heart
 Bilateral lower lobe consolidations
 Lungs not transplanted because of traumatic damage
 NT
 Negative
 NT
E
 Hemorrhagic stroke
 Bilateral lungs, right kidney, left kidney/split liver, split liver, heart
 No focal infiltrates, small pneumomediastinum
 Both lungs transplanted
 NT
 Negative
 NT
F
 Head trauma
 Left lung, right lung, liver, and heart
 Bilateral lower lobe consolidations
 Both lungs transplanted
 NT
 Negative
 NT
G
 Head trauma
 Heart/left kidney, liver, right kidney/pancreas
 Bilateral lower lobe consolidations
 Lungs not transplanted because of abnormal chest imaging
 NT
 Negative
 NT
H Opioid overdose Heart, left kidney, right kidney, liver Patchy ground glass in all lobes Lungs not transplanted because of abnormal chest imaging NT Negative Negative

*In the 14 days before death, none of the donors had known contact with someone who had been sick with or received a diagnosis of coronavirus disease, had traveled, or had reported nosocomial transmission of SARS-CoV-2 in the donor hospital. None of the donors experienced symptoms consistent with COVID-19, including fever, cough, and shortness of breath. BAL, bronchoalveolar lavage; CT, computed tompgraphy; COVID-19: coronavirus disease; NT, not tested; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.

Main Article

Page created: December 10, 2020
Page updated: January 24, 2021
Page reviewed: January 24, 2021
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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