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2023, Number 1

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Rev Mex Traspl 2023; 12 (1)

Kidney transplantation during the COVID-19 pandemic in Arequipa, Peru

Vizcarra-Vizcarra CA, Gómez-Álvarez F, Hinojosa-Obando R, Lazo-Ramos ME

Language: Spanish
References: 14
Page: 37-40
PDF size: 208.36 Kb.


ABSTRACT

Introduction: kidney transplant patients are at high risk of COVID-19 infection. Due to this, transplants were reduced worldwide, with little experience in their development during the pandemic. Objectives: to report our experience in cadaveric donor kidney transplantation in three patients in Peru, two of whom developed SARS-CoV-2 infection after transplantation. Material and methods: case series of patients who received kidney transplantation at the Carlos Alberto Seguín Escobedo National Hospital in Arequipa, Peru, during December 2020. Results: three patients were evaluated, of which 66.7% were male, with a mean age of 43.6 ± 17.9 years and were transplanted with a negative molecular test (RT-PCR) result. Two of them had COVID infection during their hospitalization, but were asymptomatic and did not develop severe disease. One of the infected died with a functioning graft, due to upper gastrointestinal bleeding. Conclusions: despite the high risk of infection in patients who undergo kidney transplantation, this activity can be safe and successful cases have been reported.


REFERENCES

  1. Romagnani P, Remuzzi G, Glassock R, Levin A, Jager KJ, Tonelli M et al. Chronic kidney disease. Nat Rev Dis Primers. 2017; 3: 17088. doi: https://doi.org/10.1038/nrdp.2017.88.

  2. Bacqué MC, Vallejos A, Bisigniano L. Situación del trasplante renal y la donación de órganos en Argentina. Rev Nefrol Dial Traspl. 2018; 38 (1): 1-14.

  3. Herrera-Añazco P, Pacheco-Mendoza J, Taype-Rondan A. La enfermedad renal crónica en el Perú. Una revisión narrativa de los artículos científicos publicados. Acta Med Peru. 2016; 33 (2): 130-137. doi: https://doi.org/10.35663/amp.2016.332.63

  4. Vizcarra-Vizcarra CA. COVID-19 y enfermedad renal crónica: ¿qué debemos saber sobre la relación ECA/ECA-2? Rev Soc Peru Med Interna. 2020; 33 (4): 155-160. doi: https://doi.org/10.36393/spmi.v33i4.563

  5. Domínguez-Gil B, Fernández-Ruiz M, Hernández D, Crespo M, Colmenero J, Coll E, Rubio JJ. Organ donation and transplantation during the COVID-19 pandemic: a summary of the Spanish experience. Transplantation. 2021; 105 (1): 29-36. doi: 10.1097/TP.0000000000003528.

  6. Pascual J. Trasplante renal después de COVID-19. Nefrología. 2021; 41 (2): 91-94. doi: https://doi.org/10.1016/j.nefro.2021.01.001

  7. Prabhu Kanchi, Swaminathan Sambandam, Rajasekaran Siddhan. Successful kidney transplantation after COVID-19 infection in two cases. Nefrología. 2022; 42 (2): 217-219. doi: https://doi.org/10.1016/j.nefro.2020.12.004

  8. Arenas MD, Crespo M, Pérez-Sáez MJ, Collado S, Redondo-Pachón D, Llinàs-Mallol L et al. Clinical profiles in renal patients with COVID-19. J Clin Med. 2020; 9 (8): 2665. doi: 10.3390/jcm9082665.

  9. Crespo M, Mazuecos A, Rodrigo E, Gavela E, Villanego F, Sánchez-Alvarez E et al. Respiratory and gastrointestinal COVID-19 phenotypes in kidney transplant recipients. Transplantation. 2020; 104 (11): 2225-2233. doi: 10.1097/TP.0000000000003413.

  10. Villanego F, Vigara LA, Torrado J, Naranjo J, García AM, García T et al. Infección por SARS-COV-2 en lista de espera de trasplante renal: ¿se puede trasplantar un paciente con antecedente de COVID-19? Nefrología. 2022; 42 (2): 215-217. doi: https://doi.org/10.1016/j.nefro.2020.12.003

  11. Pascual J, Melilli E, Jiménez-Martín C, González-Monte E, Zárraga S, Gutiérrez-Dalmau A et al. COVID-19-related mortality during the first 60 days after kidney transplantation. Eur Urol. 2020; 78 (4): 641-643. doi: 10.1016/j.eururo.2020.06.036.

  12. Varotti G, Dodi F, Garibotto G, Fontana I. Successful kidney transplantation after COVID-19. Transpl Int. 2020; 33 (10): 1333-1334. doi: 10.1111/tri.13703.

  13. Peluso G, Campanile S, Scotti S, Tammaro V, Jamshidi A, Pelosio L. COVID-19 and Living Donor Kidney Transplantation in Naples during the Pandemic. BioMed Research International. 2020, Article ID 5703963, 4 pages. doi: https://doi.org/10.1155/2020/5703963.

  14. Lentine KL, Mannon RB, Josephson MA. Practicing with uncertainty: kidney transplantation during the COVID-19 pandemic. AJKD. 2021; 77 (5): 777-785. doi: https://doi.org/10.1053/j.ajkd.2020.12.003.




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