Live kidney donor with a history of COVID-19 infection: When to go for transplant? - A case report

Transplant in COVID era is a challenging task given a paucity of data and limited experience worldwide. A 35-year-old male patient with chronic kidney disease on dialysis for the past 9 months underwent successful living-related donor transplant with his father (aged 64 years) as donor at our center...

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Main Authors: Hari Shankar Meshram, Vivek B Kute, Himanshu Patel, Rutul M Dave, Vaibhav R Gupta, Vijay V Navadiya, Dev D Patel, Sanshriti Chauhan, Sudeep Desai, Ruchir Dave
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Indian Journal of Transplantation
Subjects:
Online Access:http://www.ijtonline.in/article.asp?issn=2212-0017;year=2021;volume=15;issue=4;spage=364;epage=367;aulast=Meshram
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author Hari Shankar Meshram
Vivek B Kute
Himanshu Patel
Rutul M Dave
Vaibhav R Gupta
Vijay V Navadiya
Dev D Patel
Sanshriti Chauhan
Sudeep Desai
Ruchir Dave
author_facet Hari Shankar Meshram
Vivek B Kute
Himanshu Patel
Rutul M Dave
Vaibhav R Gupta
Vijay V Navadiya
Dev D Patel
Sanshriti Chauhan
Sudeep Desai
Ruchir Dave
author_sort Hari Shankar Meshram
collection DOAJ
description Transplant in COVID era is a challenging task given a paucity of data and limited experience worldwide. A 35-year-old male patient with chronic kidney disease on dialysis for the past 9 months underwent successful living-related donor transplant with his father (aged 64 years) as donor at our center. In this case, donor was diagnosed with reverse-transcription polymerase chain reaction (RT-PCR)-confirmed COVID-19 during evaluation, and he was managed with supportive care and comprehensive social distancing at home. Donor was asymptomatic throughout this period. Interval from positive to negative RT-PCR for nasopharyngeal swab test was 37 days. Interval from negative RT-PCR to kidney transplant was 33 days. Later, recipient and donor were discharged with negative RT-PCR posttransplant. At 71 days of follow-up, both recipient and donor have stable kidney function with normal urinalysis. Hence, prospective donor with a history of COVID-19 infection can be taken for transplant after thorough pretransplant evaluation and having two negative RT-PCR reports after infection, normal imaging, and additional preprocedural negative RT-PCR testing.
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spelling doaj.art-e531f480d02043d4bb32016981334d622022-12-22T04:04:22ZengWolters Kluwer Medknow PublicationsIndian Journal of Transplantation2212-00172212-00252021-01-0115436436710.4103/ijot.ijot_19_21Live kidney donor with a history of COVID-19 infection: When to go for transplant? - A case reportHari Shankar MeshramVivek B KuteHimanshu PatelRutul M DaveVaibhav R GuptaVijay V NavadiyaDev D PatelSanshriti ChauhanSudeep DesaiRuchir DaveTransplant in COVID era is a challenging task given a paucity of data and limited experience worldwide. A 35-year-old male patient with chronic kidney disease on dialysis for the past 9 months underwent successful living-related donor transplant with his father (aged 64 years) as donor at our center. In this case, donor was diagnosed with reverse-transcription polymerase chain reaction (RT-PCR)-confirmed COVID-19 during evaluation, and he was managed with supportive care and comprehensive social distancing at home. Donor was asymptomatic throughout this period. Interval from positive to negative RT-PCR for nasopharyngeal swab test was 37 days. Interval from negative RT-PCR to kidney transplant was 33 days. Later, recipient and donor were discharged with negative RT-PCR posttransplant. At 71 days of follow-up, both recipient and donor have stable kidney function with normal urinalysis. Hence, prospective donor with a history of COVID-19 infection can be taken for transplant after thorough pretransplant evaluation and having two negative RT-PCR reports after infection, normal imaging, and additional preprocedural negative RT-PCR testing.http://www.ijtonline.in/article.asp?issn=2212-0017;year=2021;volume=15;issue=4;spage=364;epage=367;aulast=Meshramcovid-19kidney transplantlive donornovel coronavirus 2019
spellingShingle Hari Shankar Meshram
Vivek B Kute
Himanshu Patel
Rutul M Dave
Vaibhav R Gupta
Vijay V Navadiya
Dev D Patel
Sanshriti Chauhan
Sudeep Desai
Ruchir Dave
Live kidney donor with a history of COVID-19 infection: When to go for transplant? - A case report
Indian Journal of Transplantation
covid-19
kidney transplant
live donor
novel coronavirus 2019
title Live kidney donor with a history of COVID-19 infection: When to go for transplant? - A case report
title_full Live kidney donor with a history of COVID-19 infection: When to go for transplant? - A case report
title_fullStr Live kidney donor with a history of COVID-19 infection: When to go for transplant? - A case report
title_full_unstemmed Live kidney donor with a history of COVID-19 infection: When to go for transplant? - A case report
title_short Live kidney donor with a history of COVID-19 infection: When to go for transplant? - A case report
title_sort live kidney donor with a history of covid 19 infection when to go for transplant a case report
topic covid-19
kidney transplant
live donor
novel coronavirus 2019
url http://www.ijtonline.in/article.asp?issn=2212-0017;year=2021;volume=15;issue=4;spage=364;epage=367;aulast=Meshram
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