4.1 Article

Uneventful case of COVID-19 in a kidney transplant recipient

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BMJ CASE REPORTS
卷 13, 期 7, 页码 -

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BMJ PUBLISHING GROUP
DOI: 10.1136/bcr-2020-237427

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renal transplantation; infectious diseases; renal medicine; pharmacology and therapeutics

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Kidney transplant recipients have been reported at a particularly high risk of severe COVID-19 illness due to chronic immunosuppression and coexisting conditions. Yet, here we describe a remarkably mild case of COVID-19 in a 62-year-old female who had a kidney transplantation 10 years earlier due to autosomal dominant polycystic kidney disease. The patient was admitted for 1day; immunosuppressive therapy with tacrolimus and low-dose prednisolone was continued; and the patient recovered successfully without the use of antiviral agents or oxygen therapy. The case demonstrates that kidney transplant recipients are not necessarily severely affected by COVID-19. Withdrawal of immunosuppressive therapy could be associated with poorer outcomes and should not be implemented thoughtlessly.

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