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Case Reports
. 2020 Mar 20;10.1111/ajt.15874.
doi: 10.1111/ajt.15874. Online ahead of print.

Case Report of COVID-19 in a Kidney Transplant Recipient: Does Immunosuppression Alter the Clinical Presentation?

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Free PMC article
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. .
Free PMC article

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.

Conflict of interest statement

The authors of this manuscript have no conflicts of interest to disclose as described by the American Journal of Transplantation.

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

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