A Michigan resident has died of rabies after receiving a transplanted organ in Ohio, the Toledo-Lucas County (Ohio) Health Department reported Wednesday. The Michigan Department of Health and Human Services confirmed the report, saying the patient died in January and the transplant happened in December.

WTOL, a media outlet based in Toledo, Ohio, first reported on the unusual death Wednesday, which was confirmed by health officials in Michigan and Ohio, as well as the CDC. Officials say that no one else is at risk of rabies from the tainted procedure.

Potential organ donors are screened for viruses, bacteria and other infections, but rabies isn’t usually among those tests.