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Diagnostic Dilemma: Man Caught Rabies From Organ Transplant After Donor Was Scratched by Skunk

The donor was scratched by a rabies-infected skunk, causing a rare transplant-transmitted infection; the CDC reports this is only the fourth such U.S. case since 1978.

  • A Michigan man died of rabies after receiving a left kidney transplant at an Ohio hospital from a donor declared brain dead and taken off life support five days later.
  • Investigators reconstructed a likely three-step chain from a silver-haired bat variant to a skunk, to the Idaho man, donor who was scratched on his rural property.
  • About five weeks after the transplant the recipient developed tremors, weakness, confusion and urinary incontinence, and authorities were baffled because the recipient's family reported no animal exposures; rabies is deadly if untreated before symptoms start.
  • Investigators removed three corneal grafts implanted between December 2024 and January 2025 and cancelled a fourth transplant after the CDC detected rabies in one graft and treated all exposed patients.
  • The CDC noted this is the fourth U.S. transplant-transmitted rabies case since 1978, with recipient hospitalization and death occurring seven days later, highlighting the absence of routine rabies testing in donor organs.
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delo.si broke the news in on Tuesday, December 9, 2025.
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