近期心脏移植后并发移植物功能障碍的重症新型冠状病毒肺炎
Severe COVID-19 After Recent Heart Transplantation Complicated by Allograft Dysfunction.
作者信息
Vilaro Juan, Al-Ani Mohammad, Manjarres Diana Gomez, Lascano Jorge E, Cherabuddi Kartik, Elgendy Akram Y, Bleiweiss Mark S, Parker Alex M, Ahmed Mustafa M, Aranda Juan M
机构信息
Division of Cardiovascular Medicine, Department of Medicine, University of Florida, Gainesville, Florida.
Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Florida, Gainesville, Florida.
出版信息
JACC Case Rep. 2020 Jul 15;2(9):1347-1350. doi: 10.1016/j.jaccas.2020.05.066. Epub 2020 Jun 8.
A 50-year-old male presented with atrial flutter 25 days after heart and kidney transplantation. Rejection was excluded, but he developed severe COVID-19 infection with cardiac allograft dysfunction. Despite continued corticosteroid and tacrolimus therapy, he remained aviremic. Respiratory and myocardial functions recovered after a week of mechanical ventilation. The cardiomyopathy was stress induced. ().
一名50岁男性在心脏和肾脏移植25天后出现心房扑动。排除了排斥反应，但他发生了严重的新型冠状病毒肺炎感染并伴有心脏移植功能障碍。尽管继续使用皮质类固醇和他克莫司治疗，他仍无病毒血症。机械通气一周后呼吸和心肌功能恢复。这种心肌病是由压力诱发的。（）
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