Transmission of Hepatitis A Virus through Combined Liver–Small Intestine–Pancreas Transplantation
Monique A. Foster

, Lauren M. Weil, Sherry Jin, Thomas Johnson, Tonya R. Hayden-Mixson, Yury Khudyakov, Pallavi D. Annambhotla, Sridhar V. Basavaraju, Saleem Kamili, Jana M. Ritter, Noele Nelson, George Mazariegos, Michael Green, Ryan W. Himes, David T. Kuhar, Matthew J. Kuehnert, Jeffrey R. Miller, Rachel Wiseman, and Anne C. Moorman
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (M.A. Foster, T.R. Hayden-Mixson, Y. Khudyakov, P.D. Annambhotla, S.V. Basavaraju, S. Kamili, J.M. Ritter, N. Nelson, D.T. Kuhar, M.J. Kuehnert, J.A. Miller, A.C. Moorman); Texas Department of State Health Services, Austin, Texas, USA (L.M. Weil); Harris County Public Health and Environmental Services, Houston, Texas, USA (S. Jin); Houston Health Department, Houston (T. Johnson); Children’s Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA (G. Mazariegos, M. Green); Texas Children’s Hospital, Houston, (R.W. Himes); Pennsylvania Department of Health, Harrisburg, Pennsylvania, USA (J.A. Miller); Texas Department of State Health Services, Austin (R. Wiseman)
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Table 1
Laboratory results for case-patients and contacts related to HAV outbreak, Texas, 2015*
Patient or source of specimen |
Outcome or status |
HAV rRT -PCR |
Serologic testing
|
Vaccination status |
IgM |
IgG |
Donor |
Deceased |
Detected |
Detected |
Not detected |
Unvaccinated |
Multi–visceral organ recipient |
Persistent infection |
Detected |
Detected |
Detected |
Vaccinated |
Heart recipient |
Immune |
Not detected |
Not detected |
Detected |
Vaccinated |
Left kidney recipient |
Immune |
Not detected |
Not detected |
Detected |
Vaccinated |
Right kidney recipient |
Immune |
Not detected |
Not detected |
Detected |
Vaccinated |
Home health nurse A |
Recovered |
Detected |
Detected |
Not detected |
Unvaccinated |
Home health nurse B |
Recovered |
Detected |
Detected |
Not detected |
Unvaccinated |
Inpatient nurse |
Recovered |
No sample |
Detected |
Not detected |
Unvaccinated |
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Page created: March 13, 2017
Page updated: March 13, 2017
Page reviewed: March 13, 2017
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