Analysis of COVID-19 Infection in Kidney Transplant Recipients.

Transplant Proc

Laboratory of Immunology and Experimental Transplantation (LITEX) at Medical School of Sao Jose do Rio Preto (FAMERP), São Jose do Rio Preto, SP 15090-000, Brazil; Organ Transplantation Center, Hospital de Base, FUNFARME, Sao Jose do Rio Preto, SP, Brazil. Electronic address:

Published: June 2024

Background: COVID-19, caused by SARS-CoV-2, was responsible for higher morbidity and mortality in renal transplant recipients (RTx). The objective of the study was to evaluate the impact of COVID-19 infection on RTx in a single center in Brazil.

Methods: A cohort of 135 RTx was evaluated between December 2019 and June 202l, and demographics, clinical, and laboratory profiles were analyzed from deceased donors with COVID-19.

Results: Diabetic and RTx from extended criterion donors presented more frequently the severe form of the disease. Serum creatinine (sCr) after 3 months of diagnosis of COVID-19 varied according to the severity of infection. The lethality rate was higher in the group with severe symptoms (65%) compared with those with mild infection (1.5%).

Conclusion: The increase in sCr was associated with disease severity. The lethality rate for COVID-19 was 26.6%. These rates are 10-20 times higher than those reported in the general population and suggest that rigorous observation, early diagnosis, and disease prevention measures are crucial in RTx.

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Source
http://dx.doi.org/10.1016/j.transproceed.2024.04.016DOI Listing

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