{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T17:12:57Z","timestamp":1780506777092,"version":"3.54.1"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T00:00:00Z","timestamp":1604880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The clinical course of COVID\u201019 in pediatric solid organ transplant recipients remains ambiguous. Though preliminary experiences with adult transplant recipients have been published, literature centered on the pediatric population is limited. We herein report a multi\u2010center, multi\u2010organ cohort analysis of COVID\u201019\u2010positive transplant recipients\u00a0\u2264\u00a018\u00a0years at time of transplant. Data were collected via institutions\u2019 respective electronic medical record systems. Local review boards approved this cross\u2010institutional study. Among 5 transplant centers, 26 patients (62% male) were reviewed with a median age of 8\u00a0years. Six were heart recipients, 8 kidney, 10 liver, and 2 lung. Presenting symptoms included cough (n\u00a0=\u00a012 (46%)), fever (n\u00a0=\u00a09 (35%)), dry\/sore throat (n\u00a0=\u00a03 (12%)), rhinorrhea (n\u00a0=\u00a03 (12%)), anosmia (n\u00a0=\u00a02 (8%)), chest pain (n\u00a0=\u00a02 (8%)), diarrhea (n\u00a0=\u00a02 (8%)), dyspnea (n\u00a0=\u00a01 (4%)), and headache (n\u00a0=\u00a01 (4%)). Six patients (23%) were asymptomatic. No patient required supplemental oxygen, intubation, or ECMO. Eight patients (31%) were hospitalized at time of diagnosis, 3 of whom were already admitted for unrelated problems. Post\u2010transplant immunosuppression was reduced for only 2 patients (8%). All symptomatic patients recovered within 7\u00a0days. Our multi\u2010institutional experience suggests the prognoses of pediatric transplant recipients infected with COVID\u201019 may mirror those of immunocompetent children, with infrequent hospitalization and minimal treatment, if any, required.<\/jats:p>","DOI":"10.1111\/petr.13868","type":"journal-article","created":{"date-parts":[[2020,9,19]],"date-time":"2020-09-19T02:00:56Z","timestamp":1600480856000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":62,"title":["The pediatric solid organ transplant experience with COVID\u201019: An initial multi\u2010center, multi\u2010organ case series"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4663-0086","authenticated-orcid":false,"given":"Matthew B.","family":"Goss","sequence":"first","affiliation":[{"name":"McGovern Medical School University of Texas Health Science Center at Houston Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. Thao N.","family":"Galv\u00e1n","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation Michael E. DeBakey Department of Surgery Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenly","family":"Ruan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Gastroenterology, Hepatology, and Nutrition Section Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flor M.","family":"Munoz","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Infectious Diseases Section Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen D.","family":"Brewer","sequence":"additional","affiliation":[{"name":"Renal Section Department of Pediatrics Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine A.","family":"O\u2019Mahony","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation Michael E. DeBakey Department of Surgery Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5696-7112","authenticated-orcid":false,"given":"Ernestina","family":"Melicoff\u2010Portillo","sequence":"additional","affiliation":[{"name":"Pulmonary Section Department of Pediatrics Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William J.","family":"Dreyer","sequence":"additional","affiliation":[{"name":"Cardiology Section Department of Pediatrics Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamir A.","family":"Miloh","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology and Hepatology Department of Pediatrics University of Miami Miller School of Medicine Miami FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco G.","family":"Cigarroa","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation University Transplant Center UT Health San Antonio San Antonio TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Ranch","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Pediatrics UT Health San Antonio San Antonio TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5041-7782","authenticated-orcid":false,"given":"Dor","family":"Yoeli","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery University of Colorado Anschutz Medical Campus and Children\u2019s Hospital Colorado Aurora CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan A.","family":"Adams","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery Department of Surgery University of Colorado Anschutz Medical Campus and Children\u2019s Hospital Colorado Aurora CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Koohmaraie","sequence":"additional","affiliation":[{"name":"Liver Transplantation Service Texas Children\u2019s Hospital Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana M.","family":"Harter","sequence":"additional","affiliation":[{"name":"Transplant Services Texas Children\u2019s Hospital Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2979-0598","authenticated-orcid":false,"given":"Abbas","family":"Rana","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation Michael E. DeBakey Department of Surgery Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald T.","family":"Cotton","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation Michael E. DeBakey Department of Surgery Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Carter","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology and Nutrition Department of Pediatrics Keck School of Medicine of USC Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreena","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology and Nutrition Department of Pediatrics Keck School of Medicine of USC Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8661-676X","authenticated-orcid":false,"given":"Nicolas F.","family":"Moreno","sequence":"additional","affiliation":[{"name":"McGovern Medical School University of Texas Health Science Center at Houston Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel H.","family":"Leung","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Gastroenterology, Hepatology, and Nutrition Section Baylor College of Medicine Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Goss","sequence":"additional","affiliation":[{"name":"Division of Abdominal Transplantation Michael E. 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