02091nas a2200265   4500008003900000245014100039210006900180260000800249300001100257490000700268520130000275100002301575700001401598700002101612700001401633700001501647700001401662700002301676700001301699700001001712700001801722700001501740700002101755856004901776       2018                          d00aDonor-derived multiorgan transmission of mixed P. malariae and P. ovale infection: Impact of globalization on post-transplant infections0 aDonorderived multiorgan transmission of mixed P malariae and P o  cOct  ae129380 v203 aA 57-year-old man was admitted with fever and thrombocytopenia 1 month after renal transplantation. He had never received a blood transfusion or travelled outside Spain. A peripheral blood smear revealed Plasmodium malariae and P. ovale parasites, diagnosis confirmed later by malaria PCR. The donor, from Equatorial Guinea, had negative thick and thin blood smears and rapid malaria antigen test prior to organ donation. Peripheral blood malaria PCR was not performed during donor screening. The second renal recipient and the liver recipient were evaluated and were found to be asymptomatic. Thick and thin films and rapid malaria diagnostic tests were negative for both patients and blood for malaria PCR was sent to the referral laboratory. The index patient was treated with oral chloroquine diphosphate, with a favorable outcome and was considered cured. Malaria PCR was negative for the other renal recipient and positive for P. malariae and P. ovale curtisi for the liver transplant patient. Both were treated with oral chloroquine and the liver recipient also completed treatment with primaquine phosphate. This reported case of multiorgan transmission of mixed malaria infection highlights the importance of PCR-based tests for Plasmodium in the screening of donors from endemic areas.1 aMartín-Dávila, P1 aNorman, F1 aFortún-Abete, J1 aPíris, M1 aLovatti, R1 aRubio, JM1 aMartinez-Pérez, A1 aGraus, J1 aTa, G1 aVillarubia, J1 aMahillo, B1 aLópez-Vélez, R  uhttps://www.notifylibrary.org/reference/4794