Department of Medicine, Division of Infectious Diseases, Montefiore Medical Center, Bronx, New York, USA.
Department of Medicine, Division of Infectious Diseases, Duke University, Durham, North Carolina, USA.
Transpl Infect Dis. 2024 Jun;26(3):e14271. doi: 10.1111/tid.14271. Epub 2024 Apr 11.
In this case, a 64-year-old male with a history of simultaneous orthotopic liver transplant and cadaveric renal transplant presented five years prior presented with persistent fevers two days after a positive SARS-CoV-2 nasal PCR. A CT scan of the chest on hospital day nine revealed innumerable 1-2 mm nodules in a miliary pattern throughout the lung. (1,3)-β-D-glucan on hospital day 11 was 133 pg/mL. In this article, the approach, diagnostic and management strategies for patients with persistent fevers after diagnosis of COVID-19 in a transplant recipient are discussed.
本例为一名 64 岁男性,同时接受过原位肝移植和尸体肾移植,五年前因 SARS-CoV-2 鼻 PCR 阳性后持续发热两天就诊。入院第 9 天的胸部 CT 显示肺部弥漫性粟粒样分布的无数 1-2mm 结节。入院第 11 天的(1,3)-β-D-葡聚糖为 133pg/mL。本文讨论了 COVID-19 确诊后移植受者持续发热的处理方法、诊断和治疗策略。