XXXX and @entity882 : transmission by renal homotransplantation.

@entity1 @entity882 @entity1423 @entity5507 @entity281 @entity381 @entity3218 @entity3219 @entity204 @entity631 @entity1779
Two @entity1 with disseminated @entity3219 are reported. One @entity1 presented with severe @entity882 and @entity381 . Histoplasmin skin test, blood and bone marrow cultures and smears, sputum cultures, and chest radiographs were negative for @entity3218 . She died on the sixth hospital day from a massive @entity1779 . Cardiorespiratory function was maintained until one kidney was removed for homotransplantation. The second @entity1 , with chronic @entity631 and @entity5507 , received the renal homograft from the first @entity1 . Initial signs of homograft rejection developed five days postoperatively. Diffuse @entity882 occurred shortly thereafter. Spores of @entity3218 were observed in blood smears, in leukocyte concentrates, and in five-day leukocyte cultures from the blood obtained prior to @entity204 . Disseminated @entity3219 was found in both @entity1 at autopsy. The severe @entity1423 in both cases suggests that systemic @entity3219 should be considered as a cause of @entity882 .To our knowledge, this is the first reported instance of direct transmission of @entity3218 , and must be considered a hazard in homotransplantation.In vitro leukocyte cultures as a method for early diagnosis of certain disseminated @entity281 needs further investigation.
