Original Works: Case ReportsKidneyA Case Report: Organs From a Donor With Highly Virulent Zoonotic Outbreak Strain of Streptococcus agalactiae Serotype III, Multilocus Sequence Type 283 Infective Endocarditis Did Not Result in Transmission With Adequate P

•A highly virulent zoonotic strain of Streptococcus agalactiae can present with disseminated invasive disease and was the cause of a 2015 outbreak in Singapore.•Donors with highly virulent S agalactiae infective endocarditis can contribute to the cadaveric renal donor pool by careful selection and appropriate antibiotic use.•A summary of donors with infective endocarditis and solid organ transplants has been summarized in this article.

In 2015, an outbreak involving a highly virulent zoonotic outbreak strain of Streptococcus agalactiae serotype III, multilocus sequence type 283 occurred in Singapore with increased neurologic complications, septic arthritis, and spinal infections in healthier patients. We report a case of a successful dual kidney transplant from a deceased donor with infective endocarditis and disseminated infection with the same strain of S agalactiae and we review the current literature.