{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:32:02Z","timestamp":1791916322407,"version":"4.3.4"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T00:00:00Z","timestamp":1627603200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Ehrlichiosis has been infrequently described as transmissible through organ transplantation. Two donor-derived clusters of ehrlichiosis are described here. During the summer of 2020, 2 cases of ehrlichiosis were reported to the Organ Procurement and Transplantation Network (OPTN) and the Centers for Disease Control and Prevention (CDC) for investigation. Additional transplant centers were contacted to investigate similar illness in other recipients and samples were sent to the CDC. Two kidney recipients from a common donor developed fatal ehrlichiosis-induced hemophagocytic lymphocytic histiocytosis. Two kidney recipients and a liver recipient from another common donor developed ehrlichiosis. All 3 were successfully treated. Clinicians should consider donor-derived ehrlichiosis when evaluating recipients with fever early after transplantation after more common causes are ruled out, especially if the donor has epidemiological risk factors for infection. Suspected cases should be reported to the organ procurement organization and the OPTN for further investigation by public health authorities.<\/jats:p>","DOI":"10.1093\/cid\/ciab667","type":"journal-article","created":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T19:22:37Z","timestamp":1627586557000},"page":"918-923","source":"Crossref","is-referenced-by-count":12,"title":["Donor-derived Ehrlichiosis: 2 Clusters Following Solid Organ Transplantation"],"prefix":"10.1093","volume":"74","author":[{"given":"Aditi","family":"Saha","sequence":"first","affiliation":[{"name":"Renal and Pancreas Transplant Division and Department of Medicine, Saint Barnabas Medical Center, Livingston, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Browning","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery, Lehigh Valley Health Network, Allentown, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raja","family":"Dandamudi","sequence":"additional","affiliation":[{"name":"Division of Pediatric Nephrology, Washington University of Medicine, St. Louis, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Barton","sequence":"additional","affiliation":[{"name":"Division of Pediatric Nephrology, Washington University of Medicine, St. Louis, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Graepel","sequence":"additional","affiliation":[{"name":"Division of Pediatric Nephrology, Washington University of Medicine, St. Louis, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline","family":"Cullity","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wala","family":"Abusalah","sequence":"additional","affiliation":[{"name":"Renal and Pancreas Transplant Division and Department of Medicine, Saint Barnabas Medical Center, Livingston, New Jersey, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Du","family":"Christine","sequence":"additional","affiliation":[{"name":"Department of Transplant Surgery, Lehigh Valley Health Network, Allentown, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Rossi","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease, Lehigh Valley Health Network, Allentown, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Drexler","sequence":"additional","affiliation":[{"name":"Rickettsial Zoonoses Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sridhar V","family":"Basavaraju","sequence":"additional","affiliation":[{"name":"Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pallavi","family":"Annambhotia","sequence":"additional","affiliation":[{"name":"Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo Vazquez","family":"Guillamet","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert J","family":"Eid","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Maliakkal","sequence":"additional","affiliation":[{"name":"Division of Pediatric Nephrology, Saint Louis University, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Miller","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Disease, Saint Louis University, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Hugge","sequence":"additional","affiliation":[{"name":"Division of Pediatric Hematology Oncology, Saint Louis University, Missouri, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikas R","family":"Dharnidharka","sequence":"additional","affiliation":[{"name":"Division of Pediatric Nephrology, 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