Uneventful case of COVID-19 in a kidney transplant recipient

BMJ Case Reports
Victor Dahl MathiasenSteffen Leth

Abstract

Kidney transplant recipients have been reported at a particularly high risk of severe COVID-19 illness due to chronic immunosuppression and coexisting conditions. Yet, here we describe a remarkably mild case of COVID-19 in a 62-year-old female who had a kidney transplantation 10 years earlier due to autosomal dominant polycystic kidney disease. The patient was admitted for 1 day; immunosuppressive therapy with tacrolimus and low-dose prednisolone was continued; and the patient recovered successfully without the use of antiviral agents or oxygen therapy. The case demonstrates that kidney transplant recipients are not necessarily severely affected by COVID-19. Withdrawal of immunosuppressive therapy could be associated with poorer outcomes and should not be implemented thoughtlessly.

References

Jul 14, 2010·The Lancet Infectious Diseases·Deepali KumarUNKNOWN American Society of Transplantation H1N1 Collaborative Study Group
Mar 18, 2020·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Lan ZhuGang Chen
Mar 21, 2020·Lancet·Puja MehtaUNKNOWN HLH Across Speciality Collaboration, UK
Apr 18, 2020·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Mario Fernández-RuizJosé M Aguado
Apr 25, 2020·The New England Journal of Medicine·Enver AkalinMilan Kinkhabwala
May 1, 2020·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Vinay NairErnesto P Molmenti
May 22, 2020·The Lancet. Diabetes & Endocrinology·Cyrielle CaussyUNKNOWN COVID Outcomes HCL Consortium and Lille COVID–Obesity Study Group

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Citations

Jul 22, 2020·Journal of Medical Virology·Osman N Kanwugu, Parise Adadi

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Methods Mentioned

BETA
PCR

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