Successful Liver Transplantation in a Patient With Acute COVID-19 Infection and Acute Liver Failure: A Case Report.

Kristen M Kidson, Jeieung Park, Marthe K Charles, Mahmoud Omar, Mel Krajden, Alissa J Wright, Trana Hussaini, Peter T W Kim, Stephen W Chung, Eric M Yoshida
Author Information
  1. Kristen M Kidson: Department of Anesthesiology and Perioperative Care, Vancouver General Hospital, Vancouver, BC, Canada.
  2. Jeieung Park: Department of Anesthesiology and Perioperative Care, Vancouver General Hospital, Vancouver, BC, Canada.
  3. Marthe K Charles: Division of Medical Microbiology & Infection Control, Vancouver Coastal Health Authority, Vancouver, BC, Canada.
  4. Mahmoud Omar: Division of Gastroenterology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
  5. Mel Krajden: Department of Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada.
  6. Alissa J Wright: Division of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
  7. Trana Hussaini: Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada.
  8. Peter T W Kim: Department of General Surgery, University of British Columbia, Vancouver, BC, Canada.
  9. Stephen W Chung: Department of General Surgery, University of British Columbia, Vancouver, BC, Canada.
  10. Eric M Yoshida: Department of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Al Minufiyah, Egypt.

Abstract

Current liver transplantation societies recommend recipients with active coronavirus disease 2019 (COVID-19) be deferred from transplantation for at least 2 wks, have symptom resolution and at least 1 negative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) test. This approach does not address patients who require urgent transplantation and will otherwise die from liver failure. We report a successful orthotopic liver transplant (OLT) in a patient with active COVID-19 infection. This is only the second to be reported worldwide and the first in Canada.

References

  1. Crit Care. 2020 Dec 14;24(1):691 [PMID: 33317616]
  2. J Hepatol. 2020 Oct;73(4):807-816 [PMID: 32437830]
  3. Mod Pathol. 2020 Nov;33(11):2147-2155 [PMID: 32792598]
  4. J Hepatol. 2021 Jan;74(1):148-155 [PMID: 32750442]
  5. Nature. 2020 May;581(7809):465-469 [PMID: 32235945]
  6. Liver Int. 2020 Sep;40(9):2110-2116 [PMID: 32654359]
  7. Hepatology. 2020 Sep;72(3):807-817 [PMID: 32473607]
  8. Lancet Gastroenterol Hepatol. 2020 Nov;5(11):1008-1016 [PMID: 32866433]
  9. Am J Transplant. 2021 Aug;21(8):2890-2894 [PMID: 33792185]
  10. Liver Int. 2020 Jun;40(6):1278-1281 [PMID: 32251539]
  11. Clin Infect Dis. 2020 Nov 5;71(8):1930-1934 [PMID: 32306047]
  12. Lancet Infect Dis. 2020 May;20(5):565-574 [PMID: 32213337]
  13. Crit Care. 2020 Dec 7;24(1):676 [PMID: 33287877]
  14. Am J Transplant. 2020 Jul;20(7):1800-1808 [PMID: 32330343]
  15. Circulation. 2020 Jun 9;141(23):1903-1914 [PMID: 32297796]
  16. Infect Dis Ther. 2020 Sep;9(3):573-586 [PMID: 32725536]
  17. Am J Transplant. 2021 Jun;21(6):2279-2284 [PMID: 33508881]
  18. Clin Infect Dis. 2021 Apr 26;72(8):1467-1474 [PMID: 33029620]
  19. Hepatology. 2020 Jul;72(1):287-304 [PMID: 32298473]
  20. Eur J Radiol. 2020 Dec;133:109393 [PMID: 33161199]
  21. Lancet. 2020 Jul 4;396(10243):27-38 [PMID: 32479829]
  22. PLoS One. 2020 Dec 31;15(12):e0244777 [PMID: 33382805]
  23. Nephrol Dial Transplant. 2011 Nov;26(11):3501-8 [PMID: 21652548]
  24. Clin Infect Dis. 2021 Apr 26;72(8):1489-1490 [PMID: 32562539]
  25. Nat Commun. 2020 Oct 30;11(1):5493 [PMID: 33127906]
  26. Clin Infect Dis. 2020 Nov 19;71(16):2252-2254 [PMID: 32435816]
  27. Am J Transplant. 2021 Mar;21(3):1312-1316 [PMID: 33017864]
  28. Am J Gastroenterol. 2020 Jun;115(6):941-942 [PMID: 32301760]
  29. Gastroenterology. 2021 Mar;160(4):1151-1163.e3 [PMID: 33307029]
  30. Medicine (Baltimore). 2020 Oct 23;99(43):e22818 [PMID: 33120805]
  31. BMJ. 2020 May 22;369:m1985 [PMID: 32444460]

Word Cloud

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