CASE REPORT |
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Year : 2021 | Volume
: 15
| Issue : 4 | Page : 364-367 |
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Live kidney donor with a history of COVID-19 infection: When to go for transplant? - A case report
Hari Shankar Meshram, Vivek B Kute, Himanshu Patel, Rutul M Dave, Vaibhav R Gupta, Vijay V Navadiya, Dev D Patel, Sanshriti Chauhan, Sudeep Desai, Ruchir Dave
Department of Nephrology and Transplantation Sciences, Institute of Kidney Diseases and Research Center, Dr. HL Trivedi Institute of Transplantation Sciences (IKDRC-ITS), Ahmedabad, Gujarat, India
Correspondence Address:
Dr. Hari Shankar Meshram Nephrology and Transplantation Institute of Kidney Diseases and Research Centre, Dr. HL Trivedi Institute of Transplantation Sciences (IKDRC-ITS), Ahmedabad, Gujarat India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijot.ijot_19_21
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Transplant in COVID era is a challenging task given a paucity of data and limited experience worldwide. A 35-year-old male patient with chronic kidney disease on dialysis for the past 9 months underwent successful living-related donor transplant with his father (aged 64 years) as donor at our center. In this case, donor was diagnosed with reverse-transcription polymerase chain reaction (RT-PCR)-confirmed COVID-19 during evaluation, and he was managed with supportive care and comprehensive social distancing at home. Donor was asymptomatic throughout this period. Interval from positive to negative RT-PCR for nasopharyngeal swab test was 37 days. Interval from negative RT-PCR to kidney transplant was 33 days. Later, recipient and donor were discharged with negative RT-PCR posttransplant. At 71 days of follow-up, both recipient and donor have stable kidney function with normal urinalysis. Hence, prospective donor with a history of COVID-19 infection can be taken for transplant after thorough pretransplant evaluation and having two negative RT-PCR reports after infection, normal imaging, and additional preprocedural negative RT-PCR testing. |
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