单位:[1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Inst Organ Transplantat,Wuhan 430030,Peoples R China器官移植研究所华中科技大学同济医学院附属同济医院器官移植[2]Minist Educ, Key Lab Organ Transplantat, Wuhan, Peoples R China[3]NHC Key Lab Organ Transplantat, Wuhan, Peoples R China[4]Chinese Acad Med Sci, Key Lab Organ Transplantat, Wuhan, Peoples R China
Coronavirus disease 2019 (COVID-19) pandemic gripped the globe. SARS-CoV-2 is highly infectious and is susceptible to all populations. Immunosuppressed patients have greater risk for opportunistic infections. However, the understanding regarding the biological characteristics of SARS-CoV-2 in immunosuppressed patients remains unclear. Herein, we present a case of prolonged shedding of SARS-CoV-2 in a liver transplant patient with COVID-19. A 61-year-old male post liver transplant was confirmed COVID-19 infection on day 10 of illness onset. The patient has received immunosuppressive treatment for over 11 years and has a history of hypertension for 10 years. With antiviral treatment and temporary discontinuation of tacrolimus immunosuppression, he had complete clinical symptoms relieve on day 24. However, recurrently positive tests of SARS-CoV-2 RNA were presented on day 35 and on day 39 after two consecutive negative tests. IgG antibody test for SARS-CoV-2 was positive with IgM negative on day 41. The final shedding duration lasted 52 days. Prolonged shedding of SARS-CoV-2 should be a matter of concern and might attribute to long-term immunosuppression. Therefore, dynamic surveillance and prolonged quarantine are required for immunocompromised individuals. Further data should be collected to investigate if there is a universal prolonged shedding window of SARS-CoV-2 in immunosuppressed patients.
第一作者单位:[1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Inst Organ Transplantat,Wuhan 430030,Peoples R China[2]Minist Educ, Key Lab Organ Transplantat, Wuhan, Peoples R China[3]NHC Key Lab Organ Transplantat, Wuhan, Peoples R China[4]Chinese Acad Med Sci, Key Lab Organ Transplantat, Wuhan, Peoples R China
通讯作者:
通讯机构:[1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Inst Organ Transplantat,Wuhan 430030,Peoples R China[2]Minist Educ, Key Lab Organ Transplantat, Wuhan, Peoples R China[3]NHC Key Lab Organ Transplantat, Wuhan, Peoples R China[4]Chinese Acad Med Sci, Key Lab Organ Transplantat, Wuhan, Peoples R China
推荐引用方式(GB/T 7714):
Wei Lai,Liu Bin,Zhao Yuanyuan,et al.Prolonged shedding of SARS-CoV-2 in an elderly liver transplant patient infected by COVID-19: a case report[J].ANNALS OF PALLIATIVE MEDICINE.2021,10(6):7003-7007.doi:10.21037/apm-20-996.
APA:
Wei, Lai,Liu, Bin,Zhao, Yuanyuan&Chen, Zhishui.(2021).Prolonged shedding of SARS-CoV-2 in an elderly liver transplant patient infected by COVID-19: a case report.ANNALS OF PALLIATIVE MEDICINE,10,(6)
MLA:
Wei, Lai,et al."Prolonged shedding of SARS-CoV-2 in an elderly liver transplant patient infected by COVID-19: a case report".ANNALS OF PALLIATIVE MEDICINE 10..6(2021):7003-7007