Successful treatment of a case of COVID-19 pneumonia following kidney transplantation using paxlovid and tocilizumab

World J Clin Cases. 2023 Sep 6;11(25):6012-6018. doi: 10.12998/wjcc.v11.i25.6012.

Abstract

Background: Since its initial detection in 2019, coronavirus disease 2019 (COVID-19) pneumonia has rapidly spread throughout the world in a global pandemic. However, reports of COVID-19 pneumonia among patients following kidney transplantation have been limited and no uniform treatment guidelines for these patients have yet to be established.

Case summary: Here, we report the case of a 39-year-old patient recovering from kidney transplantation who contracted perioperative COVID-19 pneumonia that was successfully controlled with oral paxlovid and a single intravenous drip infusion of tocilizumab following the discontinuation of immunosuppressive drugs.

Conclusion: Given the rapid spread of severe acute respiratory syndrome coronavirus 2 infections, clinicians should be aware of the potential for more cases of COVID-19 among patients following kidney transplantation and be familiar with appropriate treatment options and likely clinical outcomes.

Keywords: Case report; Clinical research; Coronavirus disease 2019 pneumonia; Kidney transplantation; Paxlovid; Tocilizumab.

Publication types

  • Case Reports