The transplant patient died in the fall – two months after the surgery. Doctors from the Medical University of Michigan determined for several dozen consecutive weeks how the infection and death occurred.
Two months of fighting
A report on the whole case was published in the America Journal of Transplantation. It shows that a patient with chronic obstructive pulmonary disease was transplanted from a woman who died in a car accident. Samples for testing from both the donor and recipient tested negative for the presence of the coronavirus.
SEE: She hid the coronavirus infection from her family. They all died
Three days after the transplant, the patient developed a high fever, her blood pressure dropped and her breathing difficulties returned. Tests showed signs of pneumonia. Shortly thereafter, problems with the work of the heart started to appear. Doctors then decided to re-test for the presence of coronavirus. This time the results turned out to be positive.
The patient’s condition continued to deteriorate. Covid-19 has led to multi-system organ failure. The treatment was not helped by the use of remdesivir, plasma therapy for convalescents or the ECMO method, consisting in connecting to a special apparatus replacing the lungs and the heart. The woman died 61 days after surgery.
Doctors, wondering how the infection happened, examined the samples taken from the donor. Although the test of the material collected from the nose and throat given once again was negative, the sample from the lungs was “positive”.
Four days after the Covid-19 transplant, the surgeon who performed the transplant also fell ill. Genetic tests left no doubt – both the patient and the doctor got infected from the donor.
– Before the procedure, we conducted the tests that we always do. We would absolutely not use our lungs if we knew about the coronavirus infection, says Dr. Daniel Kaul, director of the infectious disease department at a university hospital in Michigan, quoted in the report. He called the whole event a “tragic accident”.
“Patients should not be afraid”
NBC News emphasizes that this is the first so thoroughly documented case of coronavirus infection as a result of transplantation since the beginning of the epidemic. Last year, 40,000 were conducted in the United States. similar treatments.
SEE: Covid-19 destroyed the 40-year-old’s lungs. A transplant will be required
The authors of the report assure that this is a single case, while emphasizing that more thorough tests for the presence of coronavirus should be carried out before surgery. Experts interviewed by NBC News add that the risk of transplant abandonment “can be catastrophic,” and patients “should not be afraid of a transplant.”
bas/ NBC News, polsatnews.pl
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