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About:
Threatening drug‐drug interaction in a kidney transplant patient with Coronavirus Disease 2019 (COVID‐19)
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Threatening drug‐drug interaction in a kidney transplant patient with Coronavirus Disease 2019 (COVID‐19)
Creator
Bartoloni, Alessandro
Annarita Botta, ;
Bagalà, Alfredo
Bartiromo, Marilù
Borchi, Beatrice
Bresci, Silvia
Cavallo, Annalisa
Cirami, Calogero
Cutruzzulà, Roberta
Larti, Aida
Lugli, Gianmarco
Tilli, Marta
Vaglio, ;
Xhaferi, Brunilda
source
Medline; PMC
abstract
During the novel coronavirus pandemic, organ transplant recipients represent a frail susceptible category due to long‐term immunosuppressive therapy. For this reason, clinical manifestations may differ from general population and different treatment approaches may be needed. We present the case of a 36‐year‐old kidney transplanted woman affected by Senior‐Loken syndrome diagnosed with COVID‐19 pneumonia after a contact with her positive mother. Initial symptoms were fatigue, dry cough and coryza; she never had fever nor oxygen supplementation. Hydroxychloroquine and lopinavir/ritonavir were started, and the antiviral drug was replaced with darunavir/cobicistat after two days for diarrhea. Immunosuppressant levels were closely monitored, and we observed very high tacrolimus trough levels despite initial dose reduction. The patient was left with steroid therapy alone. The peculiarity of clinical presentation and the management difficulties represent the flagship of our case‐report. We stress the need for guidelines in transplant recipients with COVID‐19 infection with particular regard to the management of therapy.
has issue date
2020-04-12
(
xsd:dateTime
)
bibo:doi
10.1111/tid.13286
bibo:pmid
32279418
has license
no-cc
sha1sum (hex)
c174532aef37040e9873f735b31e996a02712fb6
schema:url
https://doi.org/10.1111/tid.13286
resource representing a document's title
Threatening drug‐drug interaction in a kidney transplant patient with Coronavirus Disease 2019 (COVID‐19)
has PubMed Central identifier
PMC7262190
has PubMed identifier
32279418
schema:publication
Transpl Infect Dis
resource representing a document's body
covid:c174532aef37040e9873f735b31e996a02712fb6#body_text
is
schema:about
of
named entity 'AFFECTED'
named entity 'NOVEL CORONAVIRUS'
named entity 'REASON'
named entity 'manifestations'
named entity 'organ transplant'
named entity 'susceptible'
named entity 'woman'
named entity 'pneumonia'
named entity 'Affiliation'
named entity 'coronavirus pandemic'
named entity 'general population'
named entity 'overdose'
named entity 'pharyngeal'
named entity 'respiratory rate'
named entity 'immunosuppressive therapy'
named entity 'pCO2'
named entity 'pneumonia'
named entity 'methylprednisolone'
named entity 'CRP'
named entity 'neutrophil'
named entity 'public health'
named entity 'immunosuppressive drug'
named entity 'inflammatory'
named entity 'living-donor'
named entity 'trough level'
named entity 'toxicity'
named entity 'clinical complications'
named entity 'ceftriaxone'
named entity 'deceased-donor'
named entity 'Tuscany'
named entity 'antiviral therapy'
named entity 'COVID'
named entity 'SARS-CoV-2'
named entity 'allopurinol'
named entity 'tacrolimus'
named entity 'Tropical Diseases'
named entity 'COVID-19 infection'
named entity 'darunavir/cobicistat'
named entity 'creatinine'
named entity 'SARS-CoV-2'
named entity 'lymphocyte count'
named entity 'immunosuppressive therapy'
named entity 'blood pressure'
named entity 'gastrointestinal'
named entity 'body temperature'
named entity 'inflammatory cytokines'
named entity 'mmol'
named entity 'COVID'
named entity 'trough levels'
named entity 'real-time polymerase chain reaction'
named entity 'transplant recipients'
named entity 'Careggi'
named entity 'Italy'
named entity 'coronaviruses'
named entity 'COVID19'
named entity 'lopinavir/ritonavir'
named entity 'retinal degeneration'
named entity 'antiviral therapy'
named entity 'follow-up'
named entity 'corticosteroids'
named entity 'Lombardy'
named entity 'ESKD'
named entity 'Coronavirus'
named entity 'IL-1beta'
named entity 'pneumonia'
named entity 'incubation period'
named entity 'dry cough'
named entity 'Tacrolimus'
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