COVID-19 pneumonia in kidney transplant recipients-Where we are?

Area of Science:

• * Infectious Diseases
• * Transplant Surgery
• * Critical Care Medicine

Background:

• * The emergence of SARS-CoV-2 (novel coronavirus) in late 2019 led to the COVID-19 pandemic.
• * Brazil reported its first COVID-19 case on March 20, 2020.
• * Transplant recipients are considered a vulnerable population during infectious disease outbreaks due to their immunosuppressed status.

Observation:

• * This report details the first case of COVID-19 in a liver and kidney transplant recipient in Brazil.
• * The patient presented with SARS-CoV-2 pneumonia but without respiratory failure.
• * The case occurred in the context of the early stages of the COVID-19 pandemic in Brazil.

Findings:

• * A clinical multimodal strategy was employed, including symptomatic support, reduced immunosuppression, anti-coronavirus drugs, and heparin.
• * The patient exhibited progressive improvement in symptoms.
• * The patient was successfully discharged from the hospital.

Implications:

• * This case highlights the importance of early diagnosis and tailored management strategies for transplant recipients with COVID-19.
• * The multimodal approach demonstrated potential efficacy in managing SARS-CoV-2 pneumonia in this high-risk group.
• * Further research is warranted to establish optimal treatment protocols for transplant patients infected with SARS-CoV-2.