A 22-year-old man with a history of allergic reactions to peanuts was admitted to the hospital in a coma. After inadvertently ingesting satay sauce, which contains peanuts, during a Chinese meal, he had become unwell and had had a cardiorespiratory arrest that resulted in cerebral anoxia, coma, and brain death. A high level of peanut-specific IgE was detected in his serum. Multiple organs were subsequently procured. The donor’s HLA phenotype was A1,24; B8,44; DRB1*03,13.
The donor’s liver and right kidney were given in transplantation to a 35-year-old man, and the left kidney and pancreas were given to a 27-year-old woman. Th e man (HLA phenotype, A2,19; B12, DRB1*07,13) had end-stage renal failure. The woman (HLA phenotype, A1,24; B8,44; DRB1*03,04) had chronic renal failure. Both transplant recipients received immunosuppressive induction therapy with muromonab-CD3 (OKT3) and…