COVID-19 in lung transplant recipients: A case series from Milan, Italy.
Identifieur interne : 001470 ( Main/Corpus ); précédent : 001469; suivant : 001471COVID-19 in lung transplant recipients: A case series from Milan, Italy.
Auteurs : Letizia Corinna Morlacchi ; Valeria Rossetti ; Lorenzo Gigli ; Francesco Amati ; Lorenzo Rosso ; Stefano Aliberti ; Mario Nosotti ; Francesco BlasiSource :
- Transplant infectious disease : an official journal of the Transplantation Society [ 1399-3062 ] ; 2020.
English descriptors
- KwdEn :
- Aged (MeSH), Anti-Bacterial Agents (therapeutic use), Anticoagulants (therapeutic use), Blood Gas Analysis (MeSH), COVID-19 (drug therapy), COVID-19 (immunology), Cystic Fibrosis (surgery), Deprescriptions (MeSH), Enzyme Inhibitors (therapeutic use), Female (MeSH), Graft Rejection (prevention & control), Heparin, Low-Molecular-Weight (therapeutic use), Humans (MeSH), Hydroxychloroquine (therapeutic use), Idiopathic Pulmonary Fibrosis (surgery), Immunosuppressive Agents (therapeutic use), Italy (MeSH), Lung Diseases, Interstitial (surgery), Lung Transplantation (MeSH), Male (MeSH), Middle Aged (MeSH), Pulmonary Emphysema (surgery), SARS-CoV-2 (MeSH), Treatment Outcome (MeSH).
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents, Anticoagulants, Enzyme Inhibitors, Heparin, Low-Molecular-Weight, Hydroxychloroquine, Immunosuppressive Agents.
- geographic : Italy.
- drug therapy : COVID-19.
- immunology : COVID-19.
- prevention & control : Graft Rejection.
- surgery : Cystic Fibrosis, Idiopathic Pulmonary Fibrosis, Lung Diseases, Interstitial, Pulmonary Emphysema.
- Aged, Blood Gas Analysis, Deprescriptions, Female, Humans, Lung Transplantation, Male, Middle Aged, SARS-CoV-2, Treatment Outcome.
Abstract
Limited data are currently available regarding the course of COVID-19 in lung and solid organ transplant recipients. We hereby present four cases of SARS-CoV-2 pneumonia in lung transplant recipients from our center, set in Milan, Italy. We reduced immunosuppressive regimen in all these patients, typically holding the antiproliferative agent and augmenting steroids; everybody received hydroxychloroquine, initial empiric antibiotic treatment with piperacillin/tazobactam, and high-dose low molecular weight heparin. Clinical course seemed favorable in three of our patients, but one of them deteriorated after 10 days of hospitalization, probably due to an acute form of graft dysfunction triggered both by COVID-19 and a nosocomial bacterial infection, and eventually died. Although short-term prognosis could be considered benign in the majority of our patients, we should carefully monitor these individuals in order to detect early sign of clinical deterioration and graft dysfunction in the next few months.
DOI: 10.1111/tid.13356
PubMed: 32510771
Links to Exploration step
pubmed:32510771Le document en format XML
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<term>COVID-19 (drug therapy)</term>
<term>COVID-19 (immunology)</term>
<term>Cystic Fibrosis (surgery)</term>
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<term>Idiopathic Pulmonary Fibrosis (surgery)</term>
<term>Immunosuppressive Agents (therapeutic use)</term>
<term>Italy (MeSH)</term>
<term>Lung Diseases, Interstitial (surgery)</term>
<term>Lung Transplantation (MeSH)</term>
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<term>Middle Aged (MeSH)</term>
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<term>SARS-CoV-2 (MeSH)</term>
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<term>Lung Diseases, Interstitial</term>
<term>Pulmonary Emphysema</term>
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<term>Blood Gas Analysis</term>
<term>Deprescriptions</term>
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<term>Humans</term>
<term>Lung Transplantation</term>
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<front><div type="abstract" xml:lang="en">Limited data are currently available regarding the course of COVID-19 in lung and solid organ transplant recipients. We hereby present four cases of SARS-CoV-2 pneumonia in lung transplant recipients from our center, set in Milan, Italy. We reduced immunosuppressive regimen in all these patients, typically holding the antiproliferative agent and augmenting steroids; everybody received hydroxychloroquine, initial empiric antibiotic treatment with piperacillin/tazobactam, and high-dose low molecular weight heparin. Clinical course seemed favorable in three of our patients, but one of them deteriorated after 10 days of hospitalization, probably due to an acute form of graft dysfunction triggered both by COVID-19 and a nosocomial bacterial infection, and eventually died. Although short-term prognosis could be considered benign in the majority of our patients, we should carefully monitor these individuals in order to detect early sign of clinical deterioration and graft dysfunction in the next few months.</div>
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<Abstract><AbstractText>Limited data are currently available regarding the course of COVID-19 in lung and solid organ transplant recipients. We hereby present four cases of SARS-CoV-2 pneumonia in lung transplant recipients from our center, set in Milan, Italy. We reduced immunosuppressive regimen in all these patients, typically holding the antiproliferative agent and augmenting steroids; everybody received hydroxychloroquine, initial empiric antibiotic treatment with piperacillin/tazobactam, and high-dose low molecular weight heparin. Clinical course seemed favorable in three of our patients, but one of them deteriorated after 10 days of hospitalization, probably due to an acute form of graft dysfunction triggered both by COVID-19 and a nosocomial bacterial infection, and eventually died. Although short-term prognosis could be considered benign in the majority of our patients, we should carefully monitor these individuals in order to detect early sign of clinical deterioration and graft dysfunction in the next few months.</AbstractText>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Morlacchi</LastName>
<ForeName>Letizia Corinna</ForeName>
<Initials>LC</Initials>
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<AffiliationInfo><Affiliation>Respiratory Unit and Adult Cystic, Fibrosis Centre, Internal Medicine Department, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milano, Italy.</Affiliation>
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<AffiliationInfo><Affiliation>Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milano, Italy.</Affiliation>
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<AffiliationInfo><Affiliation>Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milano, Italy.</Affiliation>
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