Implementation of Molecular Surveillance After a Cluster of Fatal Toxoplasmosis at 2 Neighboring Transplant Centers.

TitleImplementation of Molecular Surveillance After a Cluster of Fatal Toxoplasmosis at 2 Neighboring Transplant Centers.
Publication TypeJournal Article
Year of Publication2016
AuthorsIsa F, Saito K, Huang Y-T, Schuetz A, N Babady E, Salvatore S, Pessin M, Van Besien K, Perales M-A, Giralt S, Sepkowitz K, Papanicolaou GA, Soave R, Kamboj M
JournalClin Infect Dis
Volume63
Issue4
Pagination565-8
Date Published2016 08 15
ISSN1537-6591
KeywordsAged, Aged, 80 and over, Early Diagnosis, Epidemiological Monitoring, Female, Humans, Male, Middle Aged, New York City, Parasitemia, Polymerase Chain Reaction, Pre-Exposure Prophylaxis, Stem Cell Transplantation, Toxoplasma, Toxoplasmosis, Transplant Recipients
Abstract

After a cluster of fatal toxoplasmosis among stem cell transplant recipients at 2 hospitals, surveillance with polymerase chain reaction (PCR) (blood) was instituted. Rate of reactivation among seropositive recipients was 2.2 and 16%. Parasitemia was successfully managed with preemptive treatment. For seropositive recipients unable to take prophylaxis, toxoplasma PCR surveillance should be routinely performed.

DOI10.1093/cid/ciw330
Alternate JournalClin Infect Dis
PubMed ID27199460
PubMed Central IDPMC4967604
Grant ListKL2 TR000458 / TR / NCATS NIH HHS / United States
P30 CA008748 / CA / NCI NIH HHS / United States
T32 AI007613 / AI / NIAID NIH HHS / United States
UL1 TR002384 / TR / NCATS NIH HHS / United States
Related Faculty: 
Steven P. Salvatore, M.D.

Pathology & Laboratory Medicine 1300 York Avenue New York, NY 10065 Phone: (212) 746-6464
Surgical Pathology: (212) 746-2700