CovidChloroV1, Main, Exploration, bibRecord, 000A36

Two distinct cases with COVID-19 in kidney transplant recipients.

Identifieur interne : 000A36 ( Main/Exploration ); précédent : 000A35; suivant : 000A37

Two distinct cases with COVID-19 in kidney transplant recipients.

Auteurs : Yaerim Kim [Corée du Sud] ; Ohyun Kwon [Corée du Sud] ; Jin H. Paek [Corée du Sud] ; Woo Y. Park [Corée du Sud] ; Kyubok Jin [Corée du Sud] ; Miri Hyun [Corée du Sud] ; Ji Y. Lee [Corée du Sud] ; Hyun A. Kim [Corée du Sud] ; Seungyeup Han [Corée du Sud]

Source :

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons [ 1600-6143 ] ; 2020.

RBID : pubmed:32337859

Descripteurs français

English descriptors

KwdEn :
- Adult (MeSH), Antiviral Agents (therapeutic use), Azithromycin (therapeutic use), Betacoronavirus (MeSH), COVID-19 (MeSH), Calcineurin Inhibitors (therapeutic use), Coronavirus Infections (complications), Coronavirus Infections (drug therapy), Coronavirus Infections (therapy), Drug Combinations (MeSH), Drug Interactions (MeSH), Humans (MeSH), Hydroxychloroquine (therapeutic use), Immunosuppressive Agents (therapeutic use), Kidney Failure, Chronic (complications), Kidney Failure, Chronic (surgery), Kidney Transplantation (MeSH), Lopinavir (therapeutic use), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (therapy), Ritonavir (therapeutic use), SARS-CoV-2 (MeSH), Tacrolimus (therapeutic use), Transplant Recipients (MeSH).
MESH :
- chemical , therapeutic use : Antiviral Agents, Azithromycin, Calcineurin Inhibitors, Hydroxychloroquine, Immunosuppressive Agents, Lopinavir, Ritonavir, Tacrolimus.
- complications : Coronavirus Infections, Kidney Failure, Chronic, Pneumonia, Viral.
- drug therapy : Coronavirus Infections.
- surgery : Kidney Failure, Chronic.
- therapy : Coronavirus Infections, Pneumonia, Viral.
- Adult, Betacoronavirus, COVID-19, Drug Combinations, Drug Interactions, Humans, Kidney Transplantation, Male, Middle Aged, Pandemics, SARS-CoV-2, Transplant Recipients.

Abstract

The fatality of novel coronavirus disease 2019 (COVID-19) is precipitously increased in patients with underlying comorbidities or elderly people. Kidney transplant (KT) recipients are one of the vulnerable populations for infection. COVID-19 infection in KT recipients might be a complicated and awkward situation, but there has been a lack of reports concerning this group. Herein, we demonstrated two distinct cases with different clinical progress. The first case was a 36-year-old man who underwent KT 3 years ago. He was diagnosed with COVID-19 expressing relevant symptoms. Following administration of lopinavir/ritonavir and hydroxychloroquine with reduced immunosuppressant, he recovered from COVID-19. However, the unexpected fluctuations in tacrolimus trough levels needed to be managed because of drug-to-drug interaction. The second case was developed in a 56-year-old man without any symptoms. He received a second KT from an ABO-incompatible donor 8 years ago. He was diagnosed with COVID-19 by screening due to exposure history. During the hospitalization period, the chest infiltrative lesion showed a wax and wane, but he successfully recovered by administration of hydroxychloroquine with azithromycin. These apparently different cases suggest that assertive screening and management could improve the clinical course. In addition, antiviral agents should be used cautiously, especially in patients on calcineurin inhibitors.

DOI: 10.1111/ajt.15947
PubMed: 32337859
PubMed Central: PMC7267487

Affiliations:

Corée du Sud

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 001874
to stream Main, to step Curation: 001874

Le document en format XML

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<term>Azithromycin (therapeutic use)</term>
<term>Betacoronavirus (MeSH)</term>
<term>COVID-19 (MeSH)</term>
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<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (drug therapy)</term>
<term>Coronavirus Infections (therapy)</term>
<term>Drug Combinations (MeSH)</term>
<term>Drug Interactions (MeSH)</term>
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<term>Immunosuppressive Agents (therapeutic use)</term>
<term>Kidney Failure, Chronic (complications)</term>
<term>Kidney Failure, Chronic (surgery)</term>
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<term>Lopinavir (therapeutic use)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (MeSH)</term>
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<term>Pneumonia, Viral (therapy)</term>
<term>Ritonavir (therapeutic use)</term>
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<term>Adulte d'âge moyen (MeSH)</term>
<term>Antiviraux (usage thérapeutique)</term>
<term>Association médicamenteuse (MeSH)</term>
<term>Azithromycine (usage thérapeutique)</term>
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<term>Défaillance rénale chronique (complications)</term>
<term>Humains (MeSH)</term>
<term>Hydroxychloroquine (usage thérapeutique)</term>
<term>Immunosuppresseurs (usage thérapeutique)</term>
<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (thérapie)</term>
<term>Infections à coronavirus (traitement médicamenteux)</term>
<term>Inhibiteurs de la calcineurine (usage thérapeutique)</term>
<term>Interactions médicamenteuses (MeSH)</term>
<term>Lopinavir (usage thérapeutique)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (thérapie)</term>
<term>Receveurs de transplantation (MeSH)</term>
<term>Ritonavir (usage thérapeutique)</term>
<term>Tacrolimus (usage thérapeutique)</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiviral Agents</term>
<term>Azithromycin</term>
<term>Calcineurin Inhibitors</term>
<term>Hydroxychloroquine</term>
<term>Immunosuppressive Agents</term>
<term>Lopinavir</term>
<term>Ritonavir</term>
<term>Tacrolimus</term>
</keywords>
<keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Défaillance rénale chronique</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term>
<term>Kidney Failure, Chronic</term>
<term>Pneumonia, Viral</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Coronavirus Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Kidney Failure, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
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<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antiviraux</term>
<term>Azithromycine</term>
<term>Défaillance rénale chronique</term>
<term>Hydroxychloroquine</term>
<term>Immunosuppresseurs</term>
<term>Infections à coronavirus</term>
<term>Inhibiteurs de la calcineurine</term>
<term>Lopinavir</term>
<term>Pneumopathie virale</term>
<term>Ritonavir</term>
<term>Tacrolimus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Betacoronavirus</term>
<term>COVID-19</term>
<term>Drug Combinations</term>
<term>Drug Interactions</term>
<term>Humans</term>
<term>Kidney Transplantation</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pandemics</term>
<term>SARS-CoV-2</term>
<term>Transplant Recipients</term>
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<term>Association médicamenteuse</term>
<term>Betacoronavirus</term>
<term>Humains</term>
<term>Interactions médicamenteuses</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Receveurs de transplantation</term>
<term>Transplantation rénale</term>
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<front><div type="abstract" xml:lang="en">The fatality of novel coronavirus disease 2019 (COVID-19) is precipitously increased in patients with underlying comorbidities or elderly people. Kidney transplant (KT) recipients are one of the vulnerable populations for infection. COVID-19 infection in KT recipients might be a complicated and awkward situation, but there has been a lack of reports concerning this group. Herein, we demonstrated two distinct cases with different clinical progress. The first case was a 36-year-old man who underwent KT 3 years ago. He was diagnosed with COVID-19 expressing relevant symptoms. Following administration of lopinavir/ritonavir and hydroxychloroquine with reduced immunosuppressant, he recovered from COVID-19. However, the unexpected fluctuations in tacrolimus trough levels needed to be managed because of drug-to-drug interaction. The second case was developed in a 56-year-old man without any symptoms. He received a second KT from an ABO-incompatible donor 8 years ago. He was diagnosed with COVID-19 by screening due to exposure history. During the hospitalization period, the chest infiltrative lesion showed a wax and wane, but he successfully recovered by administration of hydroxychloroquine with azithromycin. These apparently different cases suggest that assertive screening and management could improve the clinical course. In addition, antiviral agents should be used cautiously, especially in patients on calcineurin inhibitors.</div>
</front>
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<Day>14</Day>
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<Day>10</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1600-6143</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>20</Volume>
<Issue>8</Issue>
<PubDate><Year>2020</Year>
<Month>08</Month>
</PubDate>
</JournalIssue>
<Title>American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons</Title>
<ISOAbbreviation>Am J Transplant</ISOAbbreviation>
</Journal>
<ArticleTitle>Two distinct cases with COVID-19 in kidney transplant recipients.</ArticleTitle>
<Pagination><MedlinePgn>2269-2275</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/ajt.15947</ELocationID>
<Abstract><AbstractText>The fatality of novel coronavirus disease 2019 (COVID-19) is precipitously increased in patients with underlying comorbidities or elderly people. Kidney transplant (KT) recipients are one of the vulnerable populations for infection. COVID-19 infection in KT recipients might be a complicated and awkward situation, but there has been a lack of reports concerning this group. Herein, we demonstrated two distinct cases with different clinical progress. The first case was a 36-year-old man who underwent KT 3 years ago. He was diagnosed with COVID-19 expressing relevant symptoms. Following administration of lopinavir/ritonavir and hydroxychloroquine with reduced immunosuppressant, he recovered from COVID-19. However, the unexpected fluctuations in tacrolimus trough levels needed to be managed because of drug-to-drug interaction. The second case was developed in a 56-year-old man without any symptoms. He received a second KT from an ABO-incompatible donor 8 years ago. He was diagnosed with COVID-19 by screening due to exposure history. During the hospitalization period, the chest infiltrative lesion showed a wax and wane, but he successfully recovered by administration of hydroxychloroquine with azithromycin. These apparently different cases suggest that assertive screening and management could improve the clinical course. In addition, antiviral agents should be used cautiously, especially in patients on calcineurin inhibitors.</AbstractText>
<CopyrightInformation>© 2020 The American Society of Transplantation and the American Society of Transplant Surgeons.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kim</LastName>
<ForeName>Yaerim</ForeName>
<Initials>Y</Initials>
<Identifier Source="ORCID">0000-0003-1596-1528</Identifier>
<AffiliationInfo><Affiliation>Division of Nephrology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Keimyung University Kidney Institute, Daegu, Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kwon</LastName>
<ForeName>Ohyun</ForeName>
<Initials>O</Initials>
<AffiliationInfo><Affiliation>Division of Nephrology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Paek</LastName>
<ForeName>Jin H</ForeName>
<Initials>JH</Initials>
<AffiliationInfo><Affiliation>Division of Nephrology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Keimyung University Kidney Institute, Daegu, Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Park</LastName>
<ForeName>Woo Y</ForeName>
<Initials>WY</Initials>
<AffiliationInfo><Affiliation>Division of Nephrology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Keimyung University Kidney Institute, Daegu, Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Jin</LastName>
<ForeName>Kyubok</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Division of Nephrology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Keimyung University Kidney Institute, Daegu, Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hyun</LastName>
<ForeName>Miri</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Division of Infectious Disease, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lee</LastName>
<ForeName>Ji Y</ForeName>
<Initials>JY</Initials>
<AffiliationInfo><Affiliation>Division of Infectious Disease, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kim</LastName>
<ForeName>Hyun A</ForeName>
<Initials>HA</Initials>
<AffiliationInfo><Affiliation>Division of Infectious Disease, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Han</LastName>
<ForeName>Seungyeup</ForeName>
<Initials>S</Initials>
<Identifier Source="ORCID">0000-0002-7561-6534</Identifier>
<AffiliationInfo><Affiliation>Division of Nephrology, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Keimyung University Kidney Institute, Daegu, Korea.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>05</Month>
<Day>16</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Am J Transplant</MedlineTA>
<NlmUniqueID>100968638</NlmUniqueID>
<ISSNLinking>1600-6135</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D000998">Antiviral Agents</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D065095">Calcineurin Inhibitors</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D004338">Drug Combinations</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D007166">Immunosuppressive Agents</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="C558899">lopinavir-ritonavir drug combination</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>2494G1JF75</RegistryNumber>
<NameOfSubstance UI="D061466">Lopinavir</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>4QWG6N8QKH</RegistryNumber>
<NameOfSubstance UI="D006886">Hydroxychloroquine</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>83905-01-5</RegistryNumber>
<NameOfSubstance UI="D017963">Azithromycin</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>O3J8G9O825</RegistryNumber>
<NameOfSubstance UI="D019438">Ritonavir</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>WM0HAQ4WNM</RegistryNumber>
<NameOfSubstance UI="D016559">Tacrolimus</NameOfSubstance>
</Chemical>
</ChemicalList>
<SupplMeshList><SupplMeshName Type="Protocol" UI="C000705127">COVID-19 drug treatment</SupplMeshName>
</SupplMeshList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000998" MajorTopicYN="N">Antiviral Agents</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017963" MajorTopicYN="N">Azithromycin</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D065095" MajorTopicYN="N">Calcineurin Inhibitors</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004338" MajorTopicYN="N">Drug Combinations</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004347" MajorTopicYN="N">Drug Interactions</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006886" MajorTopicYN="N">Hydroxychloroquine</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
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<MeshHeading><DescriptorName UI="D019438" MajorTopicYN="N">Ritonavir</DescriptorName>
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<MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName>
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<MeshHeading><DescriptorName UI="D066027" MajorTopicYN="Y">Transplant Recipients</DescriptorName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">clinical research/practice</Keyword>
<Keyword MajorTopicYN="Y">immunosuppressant</Keyword>
<Keyword MajorTopicYN="Y">infection and infectious agents - viral</Keyword>
<Keyword MajorTopicYN="Y">infectious disease</Keyword>
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<Day>05</Day>
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<Month>04</Month>
<Day>16</Day>
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<affiliations><list><country><li>Corée du Sud</li>
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<tree><country name="Corée du Sud"><noRegion><name sortKey="Kim, Yaerim" sort="Kim, Yaerim" uniqKey="Kim Y" first="Yaerim" last="Kim">Yaerim Kim</name>
</noRegion>
<name sortKey="Han, Seungyeup" sort="Han, Seungyeup" uniqKey="Han S" first="Seungyeup" last="Han">Seungyeup Han</name>
<name sortKey="Han, Seungyeup" sort="Han, Seungyeup" uniqKey="Han S" first="Seungyeup" last="Han">Seungyeup Han</name>
<name sortKey="Hyun, Miri" sort="Hyun, Miri" uniqKey="Hyun M" first="Miri" last="Hyun">Miri Hyun</name>
<name sortKey="Jin, Kyubok" sort="Jin, Kyubok" uniqKey="Jin K" first="Kyubok" last="Jin">Kyubok Jin</name>
<name sortKey="Jin, Kyubok" sort="Jin, Kyubok" uniqKey="Jin K" first="Kyubok" last="Jin">Kyubok Jin</name>
<name sortKey="Kim, Hyun A" sort="Kim, Hyun A" uniqKey="Kim H" first="Hyun A" last="Kim">Hyun A. Kim</name>
<name sortKey="Kim, Yaerim" sort="Kim, Yaerim" uniqKey="Kim Y" first="Yaerim" last="Kim">Yaerim Kim</name>
<name sortKey="Kwon, Ohyun" sort="Kwon, Ohyun" uniqKey="Kwon O" first="Ohyun" last="Kwon">Ohyun Kwon</name>
<name sortKey="Lee, Ji Y" sort="Lee, Ji Y" uniqKey="Lee J" first="Ji Y" last="Lee">Ji Y. Lee</name>
<name sortKey="Paek, Jin H" sort="Paek, Jin H" uniqKey="Paek J" first="Jin H" last="Paek">Jin H. Paek</name>
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	Serveur d'exploration COVID et hydrochloroquine
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Two distinct cases with COVID-19 in kidney transplant recipients.

Two distinct cases with COVID-19 in kidney transplant recipients.

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