{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:01:36Z","timestamp":1769126496452,"version":"3.49.0"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T00:00:00Z","timestamp":1768608000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    <jats:italic>Candida auris<\/jats:italic>\n                    is an emerging multidrug\u2010resistant fungal pathogen increasingly implicated in healthcare\u2010associated outbreaks worldwide. Its presence in organ donors poses a significant threat to transplant recipients due to the risk of invasive infection and limited antifungal treatment options. We report the first isolation of\n                    <jats:italic>Candida auris<\/jats:italic>\n                    in a heart transplant donor at a transplant center in Southern Italy. The donor, a 45\u2010year\u2010old woman from Greece, was colonized with\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>C. auris<\/jats:italic>\n                    <\/jats:styled-content>\n                    in the bronchoaspirate sample collected at the time of organ retrieval. Despite this colonization, the donor heart was successfully transplanted into a 62\u2010year\u2010old male recipient with end\u2010stage heart failure secondary to myocardial infarction and cardiogenic shock. The recipient received targeted perioperative prophylaxis and was placed under strict isolation protocols. Repeated microbiological surveillance, including blood, urine, and mucosal cultures, revealed no evidence of\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>C. auris<\/jats:italic>\n                    <\/jats:styled-content>\n                    transmission. Environmental surveillance of the operating room and ICU also tested negative. The patient recovered uneventfully, showing good cardiac function and no signs of graft rejection or infection. This case emphasizes the critical importance of early detection, thorough microbiological assessment, and stringent infection control in transplantation involving donors colonized with multidrug\u2010resistant organisms. It also raises the question of whether\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>C. auris<\/jats:italic>\n                    <\/jats:styled-content>\n                    should be routinely screened in potential donors and if specific transplant guidelines should be developed to address such emerging threats.\n                  <\/jats:p>","DOI":"10.1002\/ccr3.71142","type":"journal-article","created":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T08:13:53Z","timestamp":1768637633000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Candida auris<\/i>\n                    in Heart Transplant Donor: First Isolation in a Southern Italy Heart Transplant Center"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9583-1581","authenticated-orcid":false,"given":"Lorenzo","family":"Giovannico","sequence":"first","affiliation":[{"name":"Cardiac Surgery Unit University of Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Fischetti","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Unit University of Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Savino","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Unit University of Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppina","family":"Caggiano","sequence":"additional","affiliation":[{"name":"Hygiene Section, Interdisciplinary Department of Medicine University of Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Chironna","sequence":"additional","affiliation":[{"name":"Hygiene Section, Interdisciplinary Department of Medicine University of Bari Aldo Moro  Bari Italy"},{"name":"Microbiology and Virology Section, Interdisciplinary Department of Medicine University of Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvio","family":"Tafuri","sequence":"additional","affiliation":[{"name":"Microbiology and Virology Section, Interdisciplinary Department of Medicine University of Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomaso","family":"Bottio","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Unit University of Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,17]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab368"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvac013"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11092665"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.2459\/JCM.0000000000001585"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1348-0421.2008.00083.x"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12051912"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/17512433.2021.1949285"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13756\u2010017\u20100259\u2010z"}],"container-title":["Clinical Case 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