{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T00:26:15Z","timestamp":1778286375352,"version":"3.51.4"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T00:00:00Z","timestamp":1600214400000},"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":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is a high risk of COVID\u201019 in kidney transplant recipients (KTRs) because of chronic immunosuppression and severe cytomegalovirus (CMV) pneumonitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A case series of 10 KTRs with COVID\u201019 in Iran was developed. Participants consisted of two female and eight male patients, aged 46\u201068\u00a0years old. The data related to clinical laboratory tests, outcomes, diagnosis, and drug treatments were collected. The RT\u2010PCR confirmed the COVID\u201019 infection in KTRs. The assessment of serum biochemical and blood hematological factors showed that there was a strong correlation between COVID\u201019 intensity and high serum Cr, BUN, and ALT levels, high CRP concentration, and lower lymphocyte and platelet counts in male KTRs. Ground\u2010glass opacity (GGO) was the main radiologic pattern visible on both chest radiographs of computed tomography scans. The COVID\u201019 and CMV coinfection in KTRs resulted in large\u2010size kidneys with severe parenchymal echogenicity and hydronephrosis. The combined use of effective antibiotic and antiviral drugs was suitable to prevent COVID\u201019 progression in KTRs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The coincidence of COVID\u201019 and CMV in KTRs may potentially increase the mortality risk of patients. The levels of Cr, BUN, ALT, and CRP as well as lymphocytes count in these patients should be continuously controlled.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tid.13455","type":"journal-article","created":{"date-parts":[[2020,9,2]],"date-time":"2020-09-02T20:07:56Z","timestamp":1599077276000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Iranian kidney transplant recipients with COVID\u201019 infection: Clinical outcomes and cytomegalovirus coinfection"],"prefix":"10.1111","volume":"23","author":[{"given":"Hamideh","family":"Molaei","sequence":"first","affiliation":[{"name":"Trauma Research Center Baqiyatallah University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1793-7150","authenticated-orcid":false,"given":"Leila","family":"Khedmat","sequence":"additional","affiliation":[{"name":"Health Management Research Center Baqiyatallah University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eghlim","family":"Nemati","sequence":"additional","affiliation":[{"name":"Nephrology and Urology Research Center Baqiyatallah University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zohreh","family":"Rostami","sequence":"additional","affiliation":[{"name":"Nephrology and Urology Research Center Baqiyatallah University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed Hassan","family":"Saadat","sequence":"additional","affiliation":[{"name":"Behavioral Sciences Research Center Baqiyatallah University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,16]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.34172\/ijtmgh.2020.07"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2020.1749257"},{"key":"e_1_2_13_4_1","unstructured":"COVID\u201019 coronavirus outbreak.https:\/\/www.worldometers.info\/coronavirus\/. 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