Earliest cases of coronavirus disease 2019 (COVID-19) identified in solid organ transplant recipients in the United States.
Identifieur interne : 000236 ( Main/Corpus ); précédent : 000235; suivant : 000237Earliest cases of coronavirus disease 2019 (COVID-19) identified in solid organ transplant recipients in the United States.
Auteurs : Olivia S. Kates ; Cynthia E. Fisher ; Helen C. Stankiewicz-Karita ; Amanda K. Shepherd ; E Chandler Church ; Siddhartha G. Kapnadak ; Erika D. Lease ; Francis X. Riedo ; Robert M. Rakita ; Ajit P. LimayeSource :
- American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons [ 1600-6143 ] ; 2020.
English descriptors
- KwdEn :
- Aged (MeSH), COVID-19 (MeSH), Coronavirus Infections (complications), Coronavirus Infections (diagnosis), Coronavirus Infections (therapy), End Stage Liver Disease (complications), End Stage Liver Disease (surgery), Female (MeSH), Heart Failure (complications), Heart Failure (surgery), Heart Transplantation (MeSH), Hospitalization (MeSH), Humans (MeSH), Immunosuppression (adverse effects), Immunosuppression (methods), Kidney Failure, Chronic (complications), Kidney Failure, Chronic (surgery), Kidney Transplantation (MeSH), Liver Transplantation (MeSH), Lung Diseases (complications), Lung Diseases (surgery), Lung Transplantation (MeSH), Male (MeSH), Middle Aged (MeSH), Outpatients (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (diagnosis), Pneumonia, Viral (therapy), Transplant Recipients (MeSH), United States (epidemiology), Vulnerable Populations (MeSH), Washington (MeSH).
- MESH :
- geographic , epidemiology : United States.
- adverse effects : Immunosuppression.
- complications : Coronavirus Infections, End Stage Liver Disease, Heart Failure, Kidney Failure, Chronic, Lung Diseases, Pneumonia, Viral.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- methods : Immunosuppression.
- surgery : End Stage Liver Disease, Heart Failure, Kidney Failure, Chronic, Lung Diseases.
- therapy : Coronavirus Infections, Pneumonia, Viral.
- Aged, COVID-19, Female, Heart Transplantation, Hospitalization, Humans, Kidney Transplantation, Liver Transplantation, Lung Transplantation, Male, Middle Aged, Outpatients, Pandemics, Transplant Recipients, Vulnerable Populations, Washington.
Abstract
With the rapidly expanding pandemic of SARS-CoV-2, there is concern that solid organ transplant recipients will be particularly vulnerable to infection and may experience a more severe clinical course. We report four cases of COVID-19 in solid organ transplant recipients including recipients of kidney, liver, lung, and heart transplants. We describe each patient's medical history including transplantation history, their clinical presentation and workup, and their course from diagnosis to either hospital discharge or to improvement in symptoms. These reports demonstrate a range of symptoms, clinical severity, and disease course in solid organ transplant recipients with COVID-19, including two hospitalized patients and two patients managed entirely in the outpatient setting.
DOI: 10.1111/ajt.15944
PubMed: 32330356
PubMed Central: PMC7264737
Links to Exploration step
pubmed:32330356Le document en format XML
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Limaye</name><affiliation><nlm:affiliation>Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons</title><idno type="eISSN">1600-6143</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>COVID-19 (MeSH)</term><term>Coronavirus Infections (complications)</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (therapy)</term><term>End Stage Liver Disease (complications)</term><term>End Stage Liver Disease (surgery)</term><term>Female (MeSH)</term><term>Heart Failure (complications)</term><term>Heart Failure (surgery)</term><term>Heart Transplantation (MeSH)</term><term>Hospitalization (MeSH)</term><term>Humans (MeSH)</term><term>Immunosuppression (adverse effects)</term><term>Immunosuppression (methods)</term><term>Kidney Failure, Chronic (complications)</term><term>Kidney Failure, Chronic (surgery)</term><term>Kidney Transplantation (MeSH)</term><term>Liver Transplantation (MeSH)</term><term>Lung Diseases (complications)</term><term>Lung Diseases (surgery)</term><term>Lung Transplantation (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Outpatients (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (complications)</term><term>Pneumonia, Viral (diagnosis)</term><term>Pneumonia, Viral (therapy)</term><term>Transplant Recipients (MeSH)</term><term>United States (epidemiology)</term><term>Vulnerable Populations (MeSH)</term><term>Washington (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Immunosuppression</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term><term>End Stage Liver Disease</term><term>Heart Failure</term><term>Kidney Failure, Chronic</term><term>Lung Diseases</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Immunosuppression</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>End Stage Liver Disease</term><term>Heart Failure</term><term>Kidney Failure, Chronic</term><term>Lung Diseases</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>COVID-19</term><term>Female</term><term>Heart Transplantation</term><term>Hospitalization</term><term>Humans</term><term>Kidney Transplantation</term><term>Liver Transplantation</term><term>Lung Transplantation</term><term>Male</term><term>Middle Aged</term><term>Outpatients</term><term>Pandemics</term><term>Transplant Recipients</term><term>Vulnerable Populations</term><term>Washington</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">With the rapidly expanding pandemic of SARS-CoV-2, there is concern that solid organ transplant recipients will be particularly vulnerable to infection and may experience a more severe clinical course. We report four cases of COVID-19 in solid organ transplant recipients including recipients of kidney, liver, lung, and heart transplants. We describe each patient's medical history including transplantation history, their clinical presentation and workup, and their course from diagnosis to either hospital discharge or to improvement in symptoms. These reports demonstrate a range of symptoms, clinical severity, and disease course in solid organ transplant recipients with COVID-19, including two hospitalized patients and two patients managed entirely in the outpatient setting.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32330356</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>20</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1600-6143</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>7</Issue><PubDate><Year>2020</Year><Month>Jul</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>Earliest cases of coronavirus disease 2019 (COVID-19) identified in solid organ transplant recipients in the United States.</ArticleTitle><Pagination><MedlinePgn>1885-1890</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/ajt.15944</ELocationID><Abstract><AbstractText>With the rapidly expanding pandemic of SARS-CoV-2, there is concern that solid organ transplant recipients will be particularly vulnerable to infection and may experience a more severe clinical course. We report four cases of COVID-19 in solid organ transplant recipients including recipients of kidney, liver, lung, and heart transplants. We describe each patient's medical history including transplantation history, their clinical presentation and workup, and their course from diagnosis to either hospital discharge or to improvement in symptoms. These reports demonstrate a range of symptoms, clinical severity, and disease course in solid organ transplant recipients with COVID-19, including two hospitalized patients and two patients managed entirely in the outpatient setting.</AbstractText><CopyrightInformation>© 2020 The American Society of Transplantation and the American Society of Transplant Surgeons.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kates</LastName><ForeName>Olivia S</ForeName><Initials>OS</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-4381-0049</Identifier><AffiliationInfo><Affiliation>Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fisher</LastName><ForeName>Cynthia E</ForeName><Initials>CE</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-6661-9162</Identifier><AffiliationInfo><Affiliation>Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stankiewicz-Karita</LastName><ForeName>Helen C</ForeName><Initials>HC</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-9458-286X</Identifier><AffiliationInfo><Affiliation>Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shepherd</LastName><ForeName>Amanda K</ForeName><Initials>AK</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-0466-6980</Identifier><AffiliationInfo><Affiliation>Department of Medicine, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Church</LastName><ForeName>E Chandler</ForeName><Initials>EC</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-3614-5311</Identifier><AffiliationInfo><Affiliation>Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kapnadak</LastName><ForeName>Siddhartha G</ForeName><Initials>SG</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-1889-9769</Identifier><AffiliationInfo><Affiliation>Division of Pulmonology, Critical Care, and Sleep Medicine, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lease</LastName><ForeName>Erika D</ForeName><Initials>ED</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-1816-6733</Identifier><AffiliationInfo><Affiliation>Division of Pulmonology, Critical Care, and Sleep Medicine, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Riedo</LastName><ForeName>Francis X</ForeName><Initials>FX</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases and Travel Medicine, EvergreenHealth, Kirkland, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rakita</LastName><ForeName>Robert M</ForeName><Initials>RM</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-8105-8455</Identifier><AffiliationInfo><Affiliation>Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Limaye</LastName><ForeName>Ajit P</ForeName><Initials>AP</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-5350-9025</Identifier><AffiliationInfo><Affiliation>Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>K23 HL143050</GrantID><Acronym>HL</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Transplant</MedlineTA><NlmUniqueID>100968638</NlmUniqueID><ISSNLinking>1600-6135</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058625" MajorTopicYN="N">End Stage Liver Disease</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006333" MajorTopicYN="N">Heart Failure</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016027" MajorTopicYN="N">Heart Transplantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007165" MajorTopicYN="N">Immunosuppression</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007676" MajorTopicYN="N">Kidney Failure, Chronic</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016030" MajorTopicYN="N">Kidney Transplantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016031" MajorTopicYN="N">Liver Transplantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008171" MajorTopicYN="N">Lung Diseases</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016040" MajorTopicYN="N">Lung Transplantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010045" MajorTopicYN="N">Outpatients</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D066027" MajorTopicYN="Y">Transplant Recipients</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D035862" MajorTopicYN="N">Vulnerable Populations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014861" MajorTopicYN="N" Type="Geographic">Washington</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">clinical research/practice</Keyword><Keyword MajorTopicYN="N">infection and infectious agents - viral</Keyword><Keyword MajorTopicYN="N">infectious disease</Keyword><Keyword MajorTopicYN="N">lung disease: infectious</Keyword><Keyword MajorTopicYN="N">organ transplantation in general</Keyword><Keyword MajorTopicYN="N">outpatient 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