Sir, rabies is a non-curable viral infection of the central nervous system. It is transmitted by animal bite. However, the uncommon mode of rabies transmission, transplantation transmission is possible (1). The consideration on lung transplantation should be mentioned. From simple literature searching, there are at least 3 reports on 4 rabid lung recipients from several non-tropical countries after lung transplantation (2-4). Common source from infectious donor was also reported (3). Of interest, there was no pre-transplantation screening of rabies. Also, no signs and symptoms of rabies could be seen in problematic donor. Since lung transplantation practice is the new therapeutic approach that is increasingly performed around the world, the concern on risk of infectious transplantation is needed. The risk of rabies should be kept in mind. As noted, the rabies transmission can be seen in nontropical countries, which are not the actual endemic area of rabies. Donor screening for rabies before transplantation might be needed.

Disclosure: The authors declare no conflict of interest.