Persistent fever after coronavirus disease 2019 in liver/kidney transplant recipient

Caroline E. Mullis, Madeleine Heldman, Nathan C. Bahr, Grace Y. Minamoto, Yoram A. Puius, Maricar Malinis

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Article numbere14271
JournalTransplant Infectious Disease
Volume26
Issue number3
DOIs
StatePublished - Jun 2024
Externally publishedYes

Keywords

  • COVID-19
  • liver transplant
  • renal transplant

ASJC Scopus subject areas

  • Transplantation
  • Infectious Diseases

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