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New disease
Case report
Uneventful case of COVID-19 in a kidney transplant recipient
  1. Victor Dahl Mathiasen1,
  2. Søren Jensen-Fangel1,
  3. Karin Skov2 and
  4. Steffen Leth1
  1. 1 Department of Infectious Diseases, Aarhus University Hospital, Aarhus N, Denmark
  2. 2 Department of Nephrology, Aarhus University Hospital, Aarhus N, Denmark
  1. Correspondence to Dr Victor Dahl Mathiasen; victordahl{at}gmail.com

Abstract

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.

  • renal transplantation
  • infectious diseases
  • renal medicine
  • pharmacology and therapeutics

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2020-237427

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    Footnotes

    • Contributors VDM wrote first draft and did literature research. The conception and design of the case report were conducted by VDM, SJ-F and SL. KS, SJ-F and SL critically revised the article for important intellectual content. The patient was treated by KS and SL. All authors approved the final version of the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.