@article {4333,
	title = {Endemic fungal infections in solid organ and hematopoietic cell transplant recipients enrolled in the Transplant-Associated Infection Surveillance Network (TRANSNET).},
	journal = {//Transpl Infect Dis},
	volume = {16},
	year = {2014},
	month = {2014},
	pages = {213 - 224},
	publisher = {(1) University of Michigan and Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA(2) University of Nebraska Medical Center, Omaha, Nebraska, USA(3) University of Wisconsin, Madison, Wisconsin, USA(4) University of Alabama at Birmingham},
	address = {(C) 2014 John Wiley \& Sons A/S},
	abstract = {Background: Invasive fungal infections are a major cause of morbidity and mortality among solid organ transplant (SOT) and hematopoietic cell transplant (HCT) recipients, but few data have been reported on the epidemiology of endemic fungal infections in these populations., Methods: Fifteen institutions belonging to the Transplant-Associated Infection Surveillance Network prospectively enrolled SOT and HCT recipients with histoplasmosis, blastomycosis, or coccidioidomycosis occurring between March 2001 and March 2006., Results: A total of 70 patients (64 SOT recipients and 6 HCT recipients) had infection with an endemic mycosis, including 52 with histoplasmosis, 9 with blastomycosis, and 9 with coccidioidomycosis. The 12-month cumulative incidence rate among SOT recipients for histoplasmosis was 0.102\%. Occurrence of infection was bimodal; 28 (40\%) infections occurred in the first 6 months post transplantation, and 24 (34\%) occurred between 2 and 11 years post transplantation. Three patients were documented to have acquired infection from the donor organ. Seven SOT recipients with histoplasmosis and 3 with coccidioidomycosis died (16\%); no HCT recipient died., Conclusions: This 5-year multicenter prospective surveillance study found that endemic mycoses occur uncommonly in SOT and HCT recipients, and that the period at risk extends for years after transplantation., (C) 2014 John Wiley \& Sons A/S},
	keywords = {blastomycosis, coccidioidomycosis, hematopoietic cell transplant, histoplasmosis, solid organ transplant},
	isbn = {1398-2273},
	author = {Kauffman, C. and Freifeld, A. and Andes, D. and Baddley, J. and Herwaldt, L. and Walker, R. and Alexander, B. and Anaissie, E. and Benedict, K. and Ito, J. and Knapp, K. and Lyon, G. and Marr, K. and Morrison, V. and Park, B. and Patterson, T. and Schuster, M. and Chiller, T. and Pappas, P.}
}
