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

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


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.

Publication types

  • Case Reports

MeSH terms

  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections / complications
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / therapy*
  • Glomerulonephritis, IGA / complications
  • Glomerulonephritis, IGA / surgery*
  • Humans
  • Immune Tolerance
  • Immunocompromised Host*
  • Immunosuppression Therapy*
  • Kidney Failure, Chronic / complications
  • Kidney Failure, Chronic / surgery*
  • Kidney Transplantation*
  • Male
  • Middle Aged
  • Pandemics
  • Pneumonia, Viral / complications
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / therapy*
  • Respiration, Artificial
  • Risk Factors
  • SARS-CoV-2