{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:51:20Z","timestamp":1790077880955,"version":"4.0.1"},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,12,18]],"date-time":"2011-12-18T00:00:00Z","timestamp":1324166400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:title>Abstract:<\/jats:title><jats:p>Coccidioidomycosis in solid organ transplant recipients most often occurs as a result of primary infection or reactivation of latent infection. Herein, we report a series of cases of transplant\u2010related transmission of coccidioidomycosis from a single donor from a non\u2010endemic region whose organs were transplanted to 5 different recipients. In all, 3 of the 5 recipients developed evidence of <jats:styled-content style=\"fixed-case\"><jats:italic>C<\/jats:italic><\/jats:styled-content><jats:italic>occidioides<\/jats:italic> infection, 2 of whom had disseminated disease. The degree of T\u2010cell immunosuppression and timing of antifungal therapy initiation likely contributed to development of disease and disease severity in these recipients. This case series highlights the importance of having a high index of suspicion for <jats:styled-content style=\"fixed-case\"><jats:italic>C<\/jats:italic><\/jats:styled-content><jats:italic>occidioides<\/jats:italic> infection in solid organ transplant recipients, even if the donor does not have known exposure, given the difficulties of obtaining a detailed and accurate travel history from next\u2010of\u2010kin.<\/jats:p>","DOI":"10.1111\/j.1399-3062.2011.00696.x","type":"journal-article","created":{"date-parts":[[2011,12,19]],"date-time":"2011-12-19T01:49:37Z","timestamp":1324259377000},"page":"300-304","source":"Crossref","is-referenced-by-count":49,"title":["Donor\u2010derived organ transplant transmission of coccidioidomycosis"],"prefix":"10.1111","volume":"14","author":[{"given":"K.L.","family":"Dierberg","sequence":"first","affiliation":[{"name":"Department of Medicine The Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.A.","family":"Marr","sequence":"additional","affiliation":[{"name":"Department of Medicine The Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Department of Medicine The Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Nace","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases University of Maryland College Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Desai","sequence":"additional","affiliation":[{"name":"Department of Surgery The Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.E.","family":"Locke","sequence":"additional","affiliation":[{"name":"Department of Surgery The Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Zhang","sequence":"additional","affiliation":[{"name":"Mycology Laboratory Division of Microbiology Department of Pathology The Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Diaz","sequence":"additional","affiliation":[{"name":"Department of Medicine The Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Chamberlain","sequence":"additional","affiliation":[{"name":"Department of Surgery The Johns Hopkins University School of Medicine Baltimore Maryland 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