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10.1053/j.ajkd.2020.06.009

http://scihub22266oqcxt.onion/10.1053/j.ajkd.2020.06.009
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32668317!7354772!32668317
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suck abstract from ncbi


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pmid32668317      Am+J+Kidney+Dis 2020 ; 76 (4): 590-594
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  • COVID-19-Related Collapsing Glomerulopathy in a Kidney Transplant Recipient #MMPMID32668317
  • Lazareth H; Pere H; Binois Y; Chabannes M; Schurder J; Bruneau T; Karras A; Thervet E; Rabant M; Veyer D; Pallet N
  • Am J Kidney Dis 2020[Oct]; 76 (4): 590-594 PMID32668317show ga
  • We report a case of a kidney transplant recipient who presented with acute kidney injury and nephrotic-range proteinuria in a context of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Kidney biopsy revealed collapsing glomerulopathy. Droplet-based digital polymerase chain reaction did not detect the presence of SARS-CoV-2 RNA in the biopsy fragment, and the virus was barely detectable in plasma at the time of the biopsy. SARS-CoV-2 RNAemia peaked several days later, followed by a seroconversion despite the absence of circulating CD19-positive lymphocytes at admission due to rituximab-based treatment of antibody-mediated rejection 3 months earlier. Genotyping for the 2 risk alleles of the apolipoprotein L1 (APOL1) gene revealed that the donor carried the low-risk G0/G2 genotype. This case illustrates that coronavirus disease 2019 infection may promote a collapsing glomerulopathy in kidney allografts with a low-risk APOL1 genotype in the absence of detectable SARS-CoV-2 RNA in the kidney and that podocyte injury may precede SARS-CoV-2 RNAemia.
  • |*Kidney Transplantation[MESH]
  • |*Transplant Recipients[MESH]
  • |Adult[MESH]
  • |Allografts[MESH]
  • |Betacoronavirus[MESH]
  • |Biopsy[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*epidemiology[MESH]
  • |Glomerulonephritis, Membranous/diagnosis/*etiology[MESH]
  • |Humans[MESH]
  • |Kidney/*pathology[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*epidemiology[MESH]


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