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Liver Transplant in a Polymerase Chain Reaction-Positive COVID-19 Recipient: A Case Report.
Okubo, Keita; Iqbal, Sara; Lizaola-Mayo, Blanca; Aqel, Bashar; Graf, Erin H; Banacloche, Juan C Gea; Singer, Andrew L; Harbell, Jack W.
  • Okubo K; Division of Abdominal Transplantation, Mayo Clinic, Phoenix, Arizona. Electronic address: Okubo.Keita@mayo.edu.
  • Iqbal S; Transplant Center, Mayo Clinic, Phoenix, Arizona.
  • Lizaola-Mayo B; Transplant Center, Mayo Clinic, Phoenix, Arizona.
  • Aqel B; Transplant Center, Mayo Clinic, Phoenix, Arizona.
  • Graf EH; Laboratory Medicine and Pathology, Mayo Clinic, Phoenix, Arizona.
  • Banacloche JCG; Division of Infectious Diseases, Mayo Clinic, Phoenix, Arizona.
  • Singer AL; Division of Abdominal Transplantation, Mayo Clinic, Phoenix, Arizona.
  • Harbell JW; Division of Abdominal Transplantation, Mayo Clinic, Phoenix, Arizona.
Transplant Proc ; 53(8): 2490-2494, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1376110
ABSTRACT
The severe acute respiratory syndrome coronavirus 2 coronavirus disease 2019 (COVID-19) global pandemic has ushered in an era of hesitation in performing transplants in affected patients. This stems from the paucity of data regarding the testing modalities, long-term implications, and uncertain prognosis in this group of patients. Current guidance from the Centers for Disease Control recommends assessing symptoms rather than polymerase chain reaction (PCR) positivity. In light of these recommendations, we describe a case of an orthotopic liver transplant in a patient infected with COVID-19 with persistent PCR positivity for 40 days before retransplant. The patient's perioperative and postoperative course was uncomplicated. Our experience leads us to advocate for liver transplants in patients who are PCR positive for COVID-19 after careful individualized and multidisciplinary evaluation regarding their liver disease and COVID-19 symptomatology.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Liver Transplantation / COVID-19 Type of study: Case report / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: Transplant Proc Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Liver Transplantation / COVID-19 Type of study: Case report / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: Transplant Proc Year: 2021 Document Type: Article