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一名终末期肾病患者从2019冠状病毒病中康复后接受了肾脏移植。

A patient with end-stage renal disease who recovered from coronavirus disease 2019 then received a kidney transplant.

作者信息

Wang Tianyu, Qiu Tao, Wang Ming, Yuan Yan, Chen Zhongbao, Ma Xiaoxiong, Zhang Long, Zou Jilin, Jin Zeya, Xu Yu, Zhang Yalong, Zhou Jiangqiao

机构信息

Department of Organ Transplantation, Renmin Hospital of Wuhan University, Wuhan University, Wuhan 430060, China.

Department of Clinical Laboratory, Renmin Hospital of Wuhan University, Wuhan University, Wuhan 430060, China.

出版信息

Transpl Immunol. 2021 Aug;67:101395. doi: 10.1016/j.trim.2021.101395. Epub 2021 Apr 22.

DOI:10.1016/j.trim.2021.101395
PMID:33895261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8061181/
Abstract

Since its emergence in December 2019 many end-stage renal disease (ESRD) patients have been infected with coronavirus disease 2019 (COVID-19). Herein, we describe the case of an ESRD patient who received a kidney transplant after recovering from COVID-19. We described the clinical course of COVID-19 and kidney transplant management, including the patient's symptoms, laboratory results, computed tomography, and antibody profiles. He recovered well, without complications. Chest computed tomography, PCR, and IgG results indicated no recurrence of COVID-19 during the subsequent two weeks. Therefore, kidney transplantation is feasible in an ESRD patient who has recovered from COVID-19, under a normal immunosuppressive regimen.

摘要

自2019年12月出现以来,许多终末期肾病(ESRD)患者感染了2019冠状病毒病(COVID-19)。在此,我们描述了一例ESRD患者在从COVID-19康复后接受肾移植的病例。我们描述了COVID-19的临床过程和肾移植管理,包括患者的症状、实验室检查结果、计算机断层扫描和抗体谱。他恢复良好,没有并发症。胸部计算机断层扫描、聚合酶链反应(PCR)和IgG结果表明,在随后的两周内没有COVID-19复发。因此,在正常免疫抑制方案下,对于从COVID-19康复的ESRD患者,肾移植是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a3c/8061181/18a81d750407/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a3c/8061181/f8f5b99f0d53/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a3c/8061181/5ab633cd58fd/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a3c/8061181/18a81d750407/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a3c/8061181/f8f5b99f0d53/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a3c/8061181/5ab633cd58fd/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a3c/8061181/18a81d750407/gr3_lrg.jpg

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A patient with end-stage renal disease who recovered from coronavirus disease 2019 then received a kidney transplant.一名终末期肾病患者从2019冠状病毒病中康复后接受了肾脏移植。
Transpl Immunol. 2021 Aug;67:101395. doi: 10.1016/j.trim.2021.101395. Epub 2021 Apr 22.
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本文引用的文献

1
Covid-19 and Kidney Transplantation.新冠病毒-19与肾移植
N Engl J Med. 2020 Jun 18;382(25):2475-2477. doi: 10.1056/NEJMc2011117. Epub 2020 Apr 24.
2
Interpretation of the 7th edition of the "diagnosis and treatment guidelines of coronavirus disease 2019 in China": Progress and challenges.《新型冠状病毒肺炎诊疗方案(试行第七版)》解读:进展与挑战
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How we mitigated and contained the COVID-19 outbreak in a hemodialysis center: Lessons and experience.
我们如何在血液透析中心减轻和控制新冠疫情:经验教训
Infect Control Hosp Epidemiol. 2020 Oct;41(10):1240-1242. doi: 10.1017/ice.2020.161. Epub 2020 Apr 23.
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Coronavirus Disease 2019 Pneumonia in Immunosuppressed Renal Transplant Recipients: A Summary of 10 Confirmed Cases in Wuhan, China.新型冠状病毒肺炎合并免疫抑制的肾移植受者肺炎:中国武汉 10 例确诊病例总结
Eur Urol. 2020 Jun;77(6):748-754. doi: 10.1016/j.eururo.2020.03.039. Epub 2020 Apr 18.
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Kidney transplant programmes during the COVID-19 pandemic.2019冠状病毒病大流行期间的肾移植项目。
Lancet Respir Med. 2020 May;8(5):e39. doi: 10.1016/S2213-2600(20)30182-X. Epub 2020 Apr 16.
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Lung Transplantation for Elderly Patients With End-Stage COVID-19 Pneumonia.终末期新冠肺炎老年患者的肺移植
Ann Surg. 2020 Jul;272(1):e33-e34. doi: 10.1097/SLA.0000000000003955.
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COVID-19 UPDATE.新型冠状病毒肺炎疫情最新情况。
Exp Clin Transplant. 2020 Apr;18(2):139-140. doi: 10.6002/ect.2020.000e.
8
Lung transplantation as therapeutic option in acute respiratory distress syndrome for coronavirus disease 2019-related pulmonary fibrosis.肺移植作为治疗 2019 冠状病毒病相关肺纤维化急性呼吸窘迫综合征的一种选择。
Chin Med J (Engl). 2020 Jun 20;133(12):1390-1396. doi: 10.1097/CM9.0000000000000839.
9
Lessons from the Experience in Wuhan to Reduce Risk of COVID-19 Infection in Patients Undergoing Long-Term Hemodialysis.武汉经验对降低长期血液透析患者感染新冠病毒风险的启示
Clin J Am Soc Nephrol. 2020 May 7;15(5):717-719. doi: 10.2215/CJN.03420320. Epub 2020 Apr 2.
10
COVID-19 Infection in a Patient with End-Stage Kidney Disease.COVID-19 感染终末期肾病患者。
Nephron. 2020;144(5):245-247. doi: 10.1159/000507261. Epub 2020 Mar 27.