Clinical Characteristics and Outcomes of Liver Transplantation Recipients With COVID-19 Pneumonia.
Transplant Proc
; 53(8): 2481-2489, 2021 Oct.
Article
em En
| MEDLINE
| ID: mdl-34261580
ABSTRACT
BACKGROUND:
We aimed to evaluate the clinical characteristics and outcomes of mild-severe COVID-19 pneumonia cases in liver transplant (LT) recipients.METHODS:
Ten LT recipients diagnosed as having COVID-19 pneumonia in a 6-month period in our transplantation center were included. Demographic and medical data of the recipients were retrospectively collected; clinical courses, treatment responses, and outcomes were evaluated.RESULTS:
Ten LT recipients were male, had a median age of 57 years (min-max, 36-69 years; interquartile range [IQR], 13 years), and had right lobe from living donor LT performed in a median of 11 months (min-max, 1-72 months; IQR, 12 months). Five patients had severe pneumonia, and the remaining patients had mild/moderate pneumonia. The most frequent symptoms were fever (90%) and cough (70%). Favipiravir, enoxaparin sodium, and corticosteroid were initiated at the time of the diagnosis; immunosuppressive drug doses were reduced or discontinued in 3 cases. Lymphopenia median 510/mL (min-max, 90-1400 mL; IQR, 610 mL), increased levels of C-reactive protein median 4.72 (min-max, 0.31-23.4; IQR, 8.5), and ferritin median 641 (min-max, 40 to ≥ 1650; IQR, 1108) were frequent. Four patients required antibacterial treatments because of emerging bacterial pneumonia and/or sepsis. All patients were hospitalized for a median of 10 days. One patient with sepsis died on the 26th day after intensive care unit admission, and the remaining 9 survived. No further complication was recorded for 1-month follow-up.CONCLUSIONS:
Commencing favipiravir, enoxaparin sodium, and corticosteroid treatments; close follow-up of the developing complications; the temporary reduction or cessation of immunosuppression; a multidisciplinary approach; early awareness of the bacterial infections; and the initiation appropriate antibiotic treatments can contribute to success.
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Base de dados:
MEDLINE
Assunto principal:
Transplante de Fígado
/
Transplantados
/
COVID-19
/
Tratamento Farmacológico da COVID-19
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article