COVID-19 in lung transplant patients: A case series

Am J Transplant. 2020 Nov;20(11):3234-3238. doi: 10.1111/ajt.16212. Epub 2020 Aug 29.

Abstract

Several case reports and small case series have been published on coronavirus disease 2019 infection after solid organ transplantation; however, thus far there are limited data on coronavirus disease 2019 infections in lung transplant patients. In the present single-center case series we discuss 10 lung transplant patients with a documented severe acute respiratory syndrome coronavirus 2 infection, diagnosed with nasopharyngeal swab in 8 and bronchoalveolar lavage in 2. Eight of 10 patients needed hospital admission, of whom 1 was in the intensive care unit. He died after 2 weeks from multiple organ failure. The remaining nine patients recovered. Cell cycle inhibitors were withheld in all patients, whereas the calcineurin inhibitor and corticosteroids were continued at the same dose, with an acceptable outcome.

Keywords: clinical research/practice; immunosuppressant; infection and infectious agents - viral; infectious disease; lung transplantation/pulmonology.

MeSH terms

  • Adult
  • Aged
  • Belgium / epidemiology
  • COVID-19 / epidemiology*
  • Comorbidity
  • Female
  • Humans
  • Lung Transplantation / methods*
  • Male
  • Middle Aged
  • Pandemics
  • Respiratory Insufficiency / epidemiology
  • Respiratory Insufficiency / surgery*
  • SARS-CoV-2*
  • Transplant Recipients*
  • Young Adult