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Kidney Allograft Rejection and Coronavirus Disease 2019 Infection: A Narrative Review
Seyed Amirhossein Fazeli1, Amirhesam Alirezaei1, Amirhossein Miladipour1
1Department of Nephrology, Clinical Research and Development Center at Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
The coronavirus disease 2019 (COVID-19) pandemic impacts kidney transplant recipients. This review examines COVID-19
Area of Science:
- Nephrology and Transplant Immunology
- Infectious Diseases and Public Health
Background:
- The COVID-19 pandemic has caused significant global health and economic challenges.
- COVID-19 is a systemic illness that can affect multiple organs, including the kidneys.
- Existing research documents COVID-19's impact on acute kidney injury and kidney disease patients.
Purpose of the Study:
- To review current studies on kidney transplant recipients with COVID-19.
- To analyze the incidence of kidney allograft rejection in these patients.
- To discuss immunosuppression management, rejection risk factors, and outcomes.
Main Methods:
- Systematic review of current literature.
- Analysis of studies focusing on kidney transplant recipients diagnosed with COVID-19.
- Examination of data on allograft rejection, immunosuppression, donor-specific antibodies, and rejection history.
Main Results:
- Reports indicate various COVID-19 related kidney conditions in transplant patients.
- Specific focus on kidney allograft rejection incidence and outcomes.
- Evaluation of immunosuppression strategies and their association with rejection risk.
Conclusions:
- COVID-19 presents unique challenges for kidney transplant recipients.
- Understanding rejection incidence, risk factors, and outcomes is crucial for patient management.
- Further research is needed to optimize care for this vulnerable population.
Related Concept Videos
Kidney Transplant I: Introduction
Kidney Transplant II: Surgical Procedure
Kidney Transplant III: Nursing Management
Acute Kidney Injury I: Introduction
Acute Kidney Injury II: Pathophysiology
Acute Kidney Injury IV: Diagnostic Studies and Prevention

