A rabid skunk scratched an Idaho resident, setting an exceedingly rare, deadly chain reaction that killed two people — the original bite victim and his organ transplant recipient, federal officials said.
It’s believed to be the fourth “transplant-transmitted rabies event in the United States since 1978,” a Centers for Disease Control and Prevention report said last week.
"Investigation suggested a likely three-step transmission chain in which a rabid silver-haired bat infected a skunk, which infected the donor and led to infection of the kidney recipient," the CDC said.
A Michigan man in December last year "received a left kidney transplant from an Idaho donor at an Ohio hospital" before he died about six weeks later, the CDC said.
The rabies "virus RNA was detected in saliva, nuchal skin, and brain tissue samples" of the recipient, the CDC said.
New interviews with the Idaho donor's family revealed "details not included in the DRAI questionnaire," according to the CDC, citing what's known as the "donor risk assessment interview."
Investigators learned that in late October 2024 in Idaho, "a skunk approached the donor as he held a kitten in an outbuilding on his rural property," leading to a scratch from the animal.
The man died about six weeks later after he become "confused, had difficulty swallowing and walking" and "experienced hallucinations," the CDC said.
The Idaho man's corneas were removed, and three "patients, one each from California, Idaho, and New Mexico, received grafts" last December and January, officials said.
As investigators continued their probe, the three "cornea recipients underwent precautionary graft removal," and a "planned transplantation of the fourth corneal graft to a Missouri patient was cancelled," the CDC said.
Those three patients were reported to be asymptomatic.
