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Persistent fever after coronavirus disease 2019 in liver/kidney transplant recipient
Caroline E Mullis1, Madeleine Heldman2, Nathan C Bahr3
1Department of Medicine, Division of Infectious Diseases, Montefiore Medical Center, Bronx, New York, USA.
Abstract:
In this case, a 64-year-old male with a history of simultaneous orthotopic liver transplant and cadaveric renal transplant presented five years prior presented with persistent fevers two days after a positive SARS-CoV-2 nasal PCR. A CT scan of the chest on hospital day nine revealed innumerable 1-2 mm nodules in a miliary pattern throughout the lung. (1,3)-β-D-glucan on hospital day 11 was 133 pg/mL. In this article, the approach, diagnostic and management strategies for patients with persistent fevers after diagnosis of COVID-19 in a transplant recipient are discussed.
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