Living Donor Kidney Transplantation in a Covid-19-Recovered Donor- Recipient Pair: A Case Report

Nidhi Agrawal1, Rabi Ranjan Sow Mondal1, Deepak S Ray1

  • 1Department of Nephrology, Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, West Bengal, India.

Insights

Living donor kidney transplantation is feasible in patients recovered from COVID-19. Careful pre-transplant screening for SARS-CoV-2 infection is crucial for successful outcomes in organ transplant candidates.

Area of Science:

  • Nephrology
  • Transplantation
  • Infectious Diseases

Background:

  • Solid organ transplantation decisions are complex during the COVID-19 pandemic.
  • Patients with chronic diseases require continued access to life-saving treatments.
  • The pandemic's persistence necessitates adapting transplant protocols.

Observation:

  • A case of living donor kidney transplantation was performed in a donor-recipient pair who had recovered from COVID-19.
  • Standard immunosuppression protocols were maintained post-transplantation.
  • Both donor and recipient underwent thorough pre-transplant evaluation.

Findings:

  • The transplant procedure resulted in a good early post-transplant outcome.
  • No active SARS-CoV-2 infection was detected pre-transplant.
  • The patient's recovery from COVID-19 did not preclude successful transplantation.

Implications:

  • Solid organ transplantation can proceed safely in selected COVID-19-recovered individuals.
  • Rigorous screening for SARS-CoV-2 is essential to prevent transmission and ensure patient safety.
  • This approach allows for continued management of end-stage renal disease during the pandemic.

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