Transfer of Symptomatic Peanut Allergy to the Recipient of a Combined Liver-And-Kidney Transplant

Peanuts are one of the commonest causes of food allergy in the United States and Europe.1–3 They are also a leading cause of food-induced anaphylaxis and death, which usually follow inadvertent exposures.4,5 Allergy to peanuts is an IgE-mediated, mast-cell–dependent, immediate-hypersensitivity reaction. There are several reports of the transfer of allergen-specific IgE-mediated hypersensitivity by bone marrow transplantation.6–9 We report a case of peanut allergy transmitted through combined liver-and-kidney transplantation. Case Report A 22-year-old man with a history of allergic reactions to peanuts was admitted to our hospital in a coma. After inadvertently ingesting satay sauce, which contains peanuts, . . .