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10.1136/bcr-2020-238413

http://scihub22266oqcxt.onion/10.1136/bcr-2020-238413
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33431539!7802699!33431539
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suck abstract from ncbi


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pmid33431539      BMJ+Case+Rep 2021 ; 14 (1): ä
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  • Complete recovery from COVID-19 of a kidney-pancreas transplant recipient: potential benefit from everolimus? #MMPMID33431539
  • Heron VC; Bach CT; Holmes NE; Whitlam JB
  • BMJ Case Rep 2021[Jan]; 14 (1): ä PMID33431539show ga
  • We present a kidney-pancreas transplant recipient who achieved complete recovery from COVID-19. A 45-year-old patient with T3 paraplegia underwent kidney-pancreas transplantation 18 years ago, followed by a subsequent kidney transplant 9 years ago, and presented with fever, hypoxia and hypotension after exposure to two confirmed cases of COVID-19. History of solid organ transplant, pre-existing renal impairment, asthma and an elevated D-dimer were identified as established risk factors for severe COVID-19. Supportive management was provided, baseline immunosuppression with everolimus was continued, and oral prednisolone was increased. A complete recovery was observed. Given the favourable outcome despite risk factors for severe COVID-19, we identify and review the potential mitigating roles of immunosuppression and mammalian target of rapamycin (mTOR) inhibitors in this disease. Further investigation is required to establish whether mTOR inhibitors could be used as therapeutic agents to treat COVID-19, or as alternative immunosuppression implemented early in the COVID-19 disease course.
  • |*Kidney Transplantation[MESH]
  • |*Pancreas Transplantation[MESH]
  • |Accidents, Traffic[MESH]
  • |Asthma/complications[MESH]
  • |COVID-19/*complications/metabolism/physiopathology/therapy[MESH]
  • |Diabetes Mellitus, Type 1/complications/surgery[MESH]
  • |Everolimus/therapeutic use[MESH]
  • |Fever/physiopathology[MESH]
  • |Fibrin Fibrinogen Degradation Products/metabolism[MESH]
  • |Glucocorticoids/*therapeutic use[MESH]
  • |Graft Rejection/*prevention & control[MESH]
  • |Humans[MESH]
  • |Hypotension/physiopathology[MESH]
  • |Hypoxia/physiopathology[MESH]
  • |Immunosuppressive Agents/*therapeutic use[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Paraplegia/*complications[MESH]
  • |Prednisolone/therapeutic use[MESH]
  • |SARS-CoV-2[MESH]


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