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H. cinaedi is a fastidious organism, rendering microbiological diagnosis difficult.
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The decision of several transplant centres, including our own, to proceed without a microbiological diagnosis rendered these transplants relatively high risk.
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However, in a resource-constrained setting such as Tanzania, limited access to microbiological laboratories and expensive second-line antimicrobials may render such recommendations futile.
CALEA is rendered moot.
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