12/4/2025 MMWR: Another organ donor has transmitted rabies to a recipient.

https://www.cdc.gov/mmwr/volumes/74/wr/mm7439a1.htm

TLDR: A 2024 kidney recipient died of acute encephalopathy, determined to be rabies. The only other recipients received corneal tissues.

The donor had been scratched by an aggressive skunk 6 weeks prior, but this Hx apparently wasn’t volunteered to his medical team.

Still, he had a 2-day history of acute encephalopathy: dysphagia, inability to walk, stiff neck, confusion, and hallucinations. He was then found unresponsive at home and transported to hospital; cardiac arrest was presumed. He died 5 days later. No mention of workup of the neuro symptoms or confirmation of presumed cardiac disease.

My question for all of you:  HOW IN THE HELL did a man with an acute onset of encephalopathy of unconfirmed origin become an organ donor?

Author: NoFlyingMonkeys