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BMJ Case Rep ; 13(7)2020 Jul 20.
Artículo en Inglés | MEDLINE | ID: covidwho-657710

RESUMEN

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 1 day; 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.


Asunto(s)
Infecciones por Coronavirus/diagnóstico , Terapia de Inmunosupresión/efectos adversos , Trasplante de Riñón/efectos adversos , Neumonía Viral/diagnóstico , Receptores de Trasplantes/estadística & datos numéricos , Betacoronavirus/aislamiento & purificación , COVID-19 , Infecciones por Coronavirus/tratamiento farmacológico , Infecciones por Coronavirus/virología , Femenino , Glucocorticoides/uso terapéutico , Hospitalización , Humanos , Inmunosupresores/uso terapéutico , Persona de Mediana Edad , Pandemias , Neumonía Viral/tratamiento farmacológico , Neumonía Viral/virología , Prednisolona/uso terapéutico , SARS-CoV-2 , Tacrolimus/uso terapéutico , Resultado del Tratamiento
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