A Maryland man whom the state Department of Health and Mental Hygiene confirmed died of rabies contracted the disease from a kidney transplant, according to The Washington Post.

It was the first case in the state of fatal rabies since 1976.

Citing two unnamed sources familiar with the case, the report said the patient, a man in his 20s, died at the Veterans Affairs Medical Center in Washington after receiving the transplant at Walter Reed National Military Medical Center in 2011.

The report said that three people in other states received organs from the same Florida donor. Their conditions were reportedly unknown.

Transmission of rabies through organ or tissue transplant is said to be rare worldwide.

According to the Post, fewer than five cases of rabies are diagnosed each year in the United States and most occur through contact with infected animals.

According to the World Health Organization (WHO), rabies occurs in more than 150 countries/territories, and more than 55,000 people die from the virus each year, mostly in Asia and Africa.

WHO data shows that dogs are the source of the “vast majority” of human rabies deaths, and that wound cleansing and immunization within a few hours after contact with a suspected rabid animal can prevent death from the virus.

WHO also says that more than 15 million people annually receive a post-exposure rabies vaccination.

In Montgomery County, an average of 50 animals per year are confirmed to be rabid. 

If you suspect that you’ve encountered a rabid animal in Montgomery County, contact the Animal Services Division at 240-773-5960.

If you suspect that you’ve encountered a rabid animal in Prince George’s County, contact the Department of Environmental Resources at 301-780-7200.