Persistent fever after coronavirus disease 2019 in liver/kidney transplant recipient

Caroline E Mullis; Madeleine Heldman; Nathan C Bahr; Grace Y Minamoto; Yoram A Puius; Maricar Malinis

doi:10.1111/tid.14271

Persistent fever after coronavirus disease 2019 in liver/kidney transplant recipient

Transpl Infect Dis. 2024 Apr 11:e14271. doi: 10.1111/tid.14271. Online ahead of print.

Authors

Caroline E Mullis¹, Madeleine Heldman², Nathan C Bahr³, Grace Y Minamoto¹, Yoram A Puius¹, Maricar Malinis⁴

Affiliations

¹ Department of Medicine, Division of Infectious Diseases, Montefiore Medical Center, Bronx, New York, USA.
² Department of Medicine, Division of Infectious Diseases, Duke University, Durham, North Carolina, USA.
³ Department of Medicine, Division of Infectious Diseases and International Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
⁴ Department of Internal Medicine, Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut, USA.

PMID: 38605533
DOI: 10.1111/tid.14271

Abstract

In this case, a 64-year-old male with a history of simultaneous orthotopic liver transplant and cadaveric renal transplant presented five years prior presented with persistent fevers two days after a positive SARS-CoV-2 nasal PCR. A CT scan of the chest on hospital day nine revealed innumerable 1-2 mm nodules in a miliary pattern throughout the lung. (1,3)-β-D-glucan on hospital day 11 was 133 pg/mL. In this article, the approach, diagnostic and management strategies for patients with persistent fevers after diagnosis of COVID-19 in a transplant recipient are discussed.

Keywords: COVID‐19; liver transplant; renal transplant.

Abstract

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