With the global spread of SARS-Cov-2 infections, increasing numbers of COVID-19 cases have been reported in transplant recipients. However, reports are lacking concerning the treatment and prognosis of COVID-19 pneumonia in renal transplant recipients with acute cardiorenal syndrome. We report here the complete clinical course of a renal transplant recipient with critical COVID-19 pneumonia. In the early phase of SARS-Cov-2 infection, the patient exhibited extensive lung lesions and significant acute kidney and heart injuries, which required treatment in the ICU. After correcting the arrhythmia and heart failure, the patient recovered quickly from the acute kidney injury with a treatment of intensive diuresis and strict control of fluid intake. Without cessation of oral immunosuppressive agents, the patient presented a delayed and low antibody response against SARS-Cov-2 and reappeared positive for the virus twice after being discharged. Nevertheless, the patient's pneumonia continued to improve and he fully recovered in 69 days. This effectively treated case may be meaningful and referable for the treatment of COVID-19 pneumonia in other transplant recipients with acute cardiorenal syndrome.
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外文
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PubmedID：
中科院(CAS)分区：
出版当年[2019]版：
大类|4 区医学
小类|3 区泌尿学与肾脏学4 区心脏和心血管系统
最新[2025]版：
大类|3 区医学
小类|4 区心脏和心血管系统4 区泌尿学与肾脏学
JCR分区：
出版当年[2018]版：
Q2UROLOGY & NEPHROLOGYQ3CARDIAC & CARDIOVASCULAR SYSTEMS
第一作者单位：[1]Huazhong Univ Sci & Technol, Inst Organ Transplantat, Tongji Hosp, Tongji Med Coll, Wuhan, Peoples R China[2]Chinese Acad Med Sci, Key Lab Organ Transplantat, Minist Educ, Minist Publ Hlth, Wuhan, Peoples R China
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通讯作者：
通讯机构：[1]Huazhong Univ Sci & Technol, Inst Organ Transplantat, Tongji Hosp, Tongji Med Coll, Wuhan, Peoples R China[*1]Tongji Hosp, Inst Organ Transplantat, Jiefang Ave 1095, Wuhan 430060, Peoples R China
推荐引用方式(GB/T 7714)：
zhu lan,shu hongge,li huijun,et al.Slow Recovery from Critical Coronavirus Disease 2019 Pneumonia in an Immunosuppressed Renal Transplant Recipient with Early Acute Cardiorenal Syndrome[J].CARDIORENAL MEDICINE.2020,10(6):470-475.doi:10.1159/000510916.
APA：
zhu,lan,shu,hongge,li,huijun,qiu,tao,zhou,jiangqiao&chen,gang.(2020).Slow Recovery from Critical Coronavirus Disease 2019 Pneumonia in an Immunosuppressed Renal Transplant Recipient with Early Acute Cardiorenal Syndrome.CARDIORENAL MEDICINE,10,(6)
MLA：
zhu,lan,et al."Slow Recovery from Critical Coronavirus Disease 2019 Pneumonia in an Immunosuppressed Renal Transplant Recipient with Early Acute Cardiorenal Syndrome".CARDIORENAL MEDICINE 10..6(2020):470-475
