Coronavirus disease 2019 (COVID-19) in a kidney transplant recipient; case report
Patients with kidney transplants are at greater risk of contracting COVID-19 because of long-term immunosuppression and may end up with severe disease with adverse outcome. The experiences of COVID-19 management in kidney transplant recipients are limited. This is a case of COVID-19 in a 45-year-old...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Society of Diabetic Nephropathy Prevention
2022-01-01
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| Series: | Journal of Nephropathology |
| Subjects: | |
| Online Access: | https://nephropathol.com/PDF/jnp-11-e9.pdf |
| _version_ | 1797828049731846144 |
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| author | Martin Thomas Kurian Syed Arman Rabbani Ajith Cherian Thomas Nadeem Javed |
| author_facet | Martin Thomas Kurian Syed Arman Rabbani Ajith Cherian Thomas Nadeem Javed |
| author_sort | Martin Thomas Kurian |
| collection | DOAJ |
| description | Patients with kidney transplants are at greater risk of contracting COVID-19 because of long-term immunosuppression and may end up with severe disease with adverse outcome. The experiences of COVID-19 management in kidney transplant recipients are limited. This is a case of COVID-19 in a 45-year-old patient with a second renal transplant on triple immunosuppressive therapy who was successfully treated for COVID-19, septic shock, acute kidney injury and was discharged with a stable graft function. The patient presented with mild COVID-19 symptoms but later went into septic shock followed by acute kidney injury due to a secondary bacterial infection. The patient was successfully managed using antivirals, corticosteroids, reducing the dose of immunosuppressants initially, then discontinuing all the immunosuppressants in view of septic shock and finally reinstating the immunosuppression gradually on clinical improvement. This case report may serve as a reference for treating immunocompromised kidney transplant recipients having COVID-19. However, more data and experiences are needed for optimization of treatment of kidney transplant recipients with COVID-19. |
| first_indexed | 2024-04-09T12:58:13Z |
| format | Article |
| id | doaj.art-74bc0dc3dec7402fbb1e1c9d7d89b419 |
| institution | Directory Open Access Journal |
| issn | 2251-8363 2251-8819 |
| language | English |
| last_indexed | 2024-04-09T12:58:13Z |
| publishDate | 2022-01-01 |
| publisher | Society of Diabetic Nephropathy Prevention |
| record_format | Article |
| series | Journal of Nephropathology |
| spelling | doaj.art-74bc0dc3dec7402fbb1e1c9d7d89b4192023-05-13T11:05:11ZengSociety of Diabetic Nephropathy PreventionJournal of Nephropathology2251-83632251-88192022-01-01111e9e910.34172/jnp.2022.09jnp-17216Coronavirus disease 2019 (COVID-19) in a kidney transplant recipient; case reportMartin Thomas Kurian0Syed Arman Rabbani1Ajith Cherian Thomas2Nadeem Javed3Ibrahim Bin Hamad Obaidallah Hospital, Ras al Khaimah, United Arab EmiratesRAK Medical and Health Sciences University, Ras Al-Khaimah, United Arab EmiratesIbrahim Bin Hamad Obaidallah Hospital, Ras al Khaimah, United Arab EmiratesIbrahim Bin Hamad Obaidallah Hospital, Ras al Khaimah, United Arab EmiratesPatients with kidney transplants are at greater risk of contracting COVID-19 because of long-term immunosuppression and may end up with severe disease with adverse outcome. The experiences of COVID-19 management in kidney transplant recipients are limited. This is a case of COVID-19 in a 45-year-old patient with a second renal transplant on triple immunosuppressive therapy who was successfully treated for COVID-19, septic shock, acute kidney injury and was discharged with a stable graft function. The patient presented with mild COVID-19 symptoms but later went into septic shock followed by acute kidney injury due to a secondary bacterial infection. The patient was successfully managed using antivirals, corticosteroids, reducing the dose of immunosuppressants initially, then discontinuing all the immunosuppressants in view of septic shock and finally reinstating the immunosuppression gradually on clinical improvement. This case report may serve as a reference for treating immunocompromised kidney transplant recipients having COVID-19. However, more data and experiences are needed for optimization of treatment of kidney transplant recipients with COVID-19.https://nephropathol.com/PDF/jnp-11-e9.pdfcovid-19kidney transplant recipientsimmunosuppressionantiviralscorticosteroids |
| spellingShingle | Martin Thomas Kurian Syed Arman Rabbani Ajith Cherian Thomas Nadeem Javed Coronavirus disease 2019 (COVID-19) in a kidney transplant recipient; case report Journal of Nephropathology covid-19 kidney transplant recipients immunosuppression antivirals corticosteroids |
| title | Coronavirus disease 2019 (COVID-19) in a kidney transplant recipient; case report |
| title_full | Coronavirus disease 2019 (COVID-19) in a kidney transplant recipient; case report |
| title_fullStr | Coronavirus disease 2019 (COVID-19) in a kidney transplant recipient; case report |
| title_full_unstemmed | Coronavirus disease 2019 (COVID-19) in a kidney transplant recipient; case report |
| title_short | Coronavirus disease 2019 (COVID-19) in a kidney transplant recipient; case report |
| title_sort | coronavirus disease 2019 covid 19 in a kidney transplant recipient case report |
| topic | covid-19 kidney transplant recipients immunosuppression antivirals corticosteroids |
| url | https://nephropathol.com/PDF/jnp-11-e9.pdf |
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