Evidence map›Paper›PMID 39896983›Full record

ArticleOpen forum infectious diseases2025

Severe Non-Donor-Derived Lymphocytic Choriomeningitis Virus Infection in 2 Solid Organ Transplant Recipients.

Leanna E Sayyad, Kami L Smith, Katrin S Sadigh, Caitlin M Cossaboom, Mary J Choi, Shannon Whitmer, Debi Cannon, Inna Krapiunaya, Maria Morales-Betoulle, Pallavi Annambhotla and 21 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Leanna E SayyadDivision of High-Consequence Pathogens and Pathology, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0003-4487-9080
Kami L SmithDivision of High-Consequence Pathogens and Pathology, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0009-0003-6426-9551
Katrin S SadighDivision of High-Consequence Pathogens and Pathology, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-4869-1061
Caitlin M CossaboomDivision of High-Consequence Pathogens and Pathology, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0001-5020-5408
Mary J ChoiDivision of High-Consequence Pathogens and Pathology, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Shannon WhitmerDivision of High-Consequence Pathogens and Pathology, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-0819-6736
Debi CannonDivision of High-Consequence Pathogens and Pathology, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0003-3730-8407
Inna KrapiunayaDivision of High-Consequence Pathogens and Pathology, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0009-0000-8849-5447
Maria Morales-BetoulleDivision of High-Consequence Pathogens and Pathology, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-7976-9351
Pallavi AnnambhotlaDivision of Healthcare Quality Promotion, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0001-5564-8785
Sridhar V BasavarajuDivision of Healthcare Quality Promotion, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-8376-0499
Irene RubertoArizona Department of Public Health, Phoenix, Arizona, USA.
Melissa KretschmerMaricopa County Department of Public Health, Phoenix, Arizona, USA.ORCID https://orcid.org/0009-0005-1453-2600
Nalleli GutierrezMaricopa County Department of Public Health, Phoenix, Arizona, USA.
Karen ZabelMaricopa County Department of Public Health, Phoenix, Arizona, USA.
Connie AustinIllinois Department of Public Health, Springfield, Illinois, USA.
Edith SandovalNew Mexico Department of Public Health, Belen, New Mexico, USA.
Venice ServellitaDepartment of Laboratory Medicine, University of California San Francisco, San Francisco, California, USA.
Abiodun ForesytheDepartment of Laboratory Medicine, University of California San Francisco, San Francisco, California, USA.
Nanami SumimotoDepartment of Laboratory Medicine, University of California San Francisco, San Francisco, California, USA.
Bashar A AqelDivision of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, Arizona, USA.
Hasan A KhamashDivision of Nephrology, Mayo Clinic, Phoenix, Arizona, USA.ORCID https://orcid.org/0000-0002-0179-1727
Carrie C JadlowiecDivision of Transplant Surgery, Mayo Clinic, Phoenix, Arizona, USA.ORCID https://orcid.org/0000-0001-7860-9519
Thomas E GrysDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Phoenix, Arizona, USA.ORCID https://orcid.org/0000-0002-0503-124X
Andres JaramilloDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Phoenix, Arizona, USA.ORCID https://orcid.org/0000-0002-0910-1460
Marie F GrillDepartment of Neurology, Mayo Clinic, Phoenix, Arizona, USA.ORCID https://orcid.org/0009-0000-9742-072X
Joel M MontgomeryDivision of High-Consequence Pathogens and Pathology, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0003-0523-4431
Trevor ShoemakerDivision of High-Consequence Pathogens and Pathology, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0001-6874-6309
John D KlenaDivision of High-Consequence Pathogens and Pathology, National Center for Emerging Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0001-9933-6193
Charles Y ChiuDepartment of Laboratory Medicine, University of California San Francisco, San Francisco, California, USA.ORCID https://orcid.org/0000-0003-2915-2094
Holenarasipur R VikramDivision of Infectious Diseases, Mayo Clinic, Phoenix, Arizona, USA.ORCID https://orcid.org/0000-0002-6391-0349

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lymphocytic choriomeningitis virus (LCMV) infection in immunocompromised hosts can result in disseminated disease, meningoencephalitis, and death. Published cases in transplant recipients have been traced to transmission from infected donors. We report 2 cases of serious, non-donor-derived LCMV infection in solid organ transplant recipients. Methods: Initial identification of LCMV infection was done by using metagenomic next-generation sequencing (mNGS). Subsequent evaluations and confirmatory testing involved molecular diagnostics, serology, and phylogenetic analysis. A detailed epidemiologic investigation was conducted. Results: LCMV was detected by mNGS in 2 solid organ transplant recipients from distinct donors. A heart transplant recipient (from donor 1) died of progressive, disseminated LCMV infection, while a kidney transplant recipient (from donor 2) with LCMV meningoencephalitis survived. A multistate laboratory and epidemiologic investigation of both donors and all their organ recipients was initiated. Postmortem samples were obtained from both donors, and pretransplant and/or posttransplant samples were obtained from 5 of the 6 organ recipients. mNGS, serologic, and real-time reverse-transcription polymerase chain reaction testing confirmed LCMV infection in both solid organ transplant recipients. Epidemiologic investigation revealed significant pretransplant rodent exposures for both LCMV-infected recipients. Laboratory studies for the other organ recipients from both donors were negative for LCMV infection. Conclusions: Our investigations suggest that LCMV infection in 2 solid organ transplant recipients originated from rodent exposure preceding transplantation and were not donor derived. Although uncommon, healthcare providers should be aware of LCMV-associated serious and life-threatening illness in immunocompromised hosts. Diagnostic modalities are limited to reference laboratories.

Indexed as

donor-derivedencephalitislymphocytic choriomeningitis virusrodenttransplant

Identifiers

PMID39896983
PMCPMC11783784

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.