Abstract

Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is spreading as a pandemic in 2020. Few reports on infections in thoracic transplantation have been published so far. We present a case of COVID-19 in a 55-year old female lung transplant recipient infected 5 months posttransplant, who additionally was co-infected with a Norovirus. Respiratory and gastrointestinal symptoms were observed without need of therapeutic escalation except for antibiotic therapy. We observed a moderate disease evolution likely due to triple immunosuppression.

Highlights

  • In late 2019, a novel coronavirus, caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) emerged from Wuhan, China [1]

  • Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is spreading as a pandemic in 2020

  • We present a case of COVID-19 in a 55-year old female lung transplant recipient infected 5 months posttransplant, who was co-infected with a Norovirus

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Summary

Introduction

In late 2019, a novel coronavirus, caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) emerged from Wuhan, China [1]. This virus leads to the coronavirus disease 2019 (COVID-19), currently causing a pandemic with worldwide severe economic and healthcare consequences [2]. The SARS-CoV-2 infection binds to human host cell receptors, using human angiotensin-converting enzyme 2 (hACE2), there are more factors influencing susceptibility to infection and disease progression. We present a case of COVID-19 in a lung transplant (LTX) recipient presenting with fever and gastrointestinal symptoms in our emergency department

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