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

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 1-2mm nodules in a miliary pattern throughout the lung. (1,3)-β-D-glucan on hospital day 11 was 133pg/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.