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Case Reports
. 2020 Jul;20(7):1875-1878.
doi: 10.1111/ajt.15874. Epub 2020 Apr 9.

Case report of COVID-19 in a kidney transplant recipient: Does immunosuppression alter the clinical presentation?

Elena Guillen  1 , Gaston J Pineiro  1   2 , Ignacio Revuelta  1   2 , Diana Rodriguez  1 , Marta Bodro  3 , Asunción Moreno  3 , Josep M Campistol  1   2 , Fritz Diekmann  1   2   4 , Pedro Ventura-Aguiar  1   2
Affiliations
Case Reports

Case report of COVID-19 in a kidney transplant recipient: Does immunosuppression alter the clinical presentation?

Elena Guillen et al. Am J Transplant. 2020 Jul.

Abstract

COVID-19 is novel infectious disease with an evolving understanding of its epidemiology and clinical manifestations. Immunocompromised patients often present atypical presentations of viral diseases. Herein we report a case of a COVID-19 infection in a solid organ transplant recipient, in which the first clinical symptoms were of gastrointestinal viral disease and fever, which further progressed to respiratory symptoms in 48 hours. In these high risk populations, protocols for screening for SARS-Cov2 may be needed to be re-evaluated.

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Figures

FIGURE 1
FIGURE 1
Patient’s chest X-ray (A) at emergency department following 72 h of first symptoms, and (B) 72 h after admission and prior to need to mechanical ventilation
FIGURE 2
FIGURE 2
Graphic representation of symptoms presentation, diagnostic workup, treatment, and progression of creatinine levels [Color figure can be viewed at wileyonlinelibrary.com]
See this image and copyright information in PMC

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References

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