Evidence map›Paper›PMID 33168542›Full record

ArticleBMJ case reports2020

Persistent viral shedding despite seroconversion in a kidney transplant recipient with severe extrapulmonary COVID-19.

Jack Italiano, Rachel Bush, Ratna Acharya, Kiran Upadhyay

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.3field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Kidney transplant recipients' attitudes toward COVID-19 vaccination and barriers and enablers to vaccine acceptance.Transplant infectious disease : an official journal of the Transplantation Society · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Jack ItalianoPediatric Nephrology, University of Florida Health, Gainesville, Florida, USA.
Rachel BushPediatric Nephrology, University of Florida Health, Gainesville, Florida, USA.
Ratna AcharyaPediatrics, University of Florida, Gainesville, Florida, USA.
Kiran UpadhyayPediatric Nephrology, University of Florida Health, Gainesville, Florida, USA dockiranbp@yahoo.com.ORCID http://orcid.org/0000-0002-8441-0220
University of Florida Health · USUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal transplant (RT) recipients are at increased risk for infectious complications. The clinical course of COVID-19 has been described in several RT recipients with varying clinical outcomes. Most present with pulmonary manifestations, however extrapulmonary presentations are not uncommon. Also, the timing and efficacy of seroconversion in transplant recipients is not well known. This report describes the duration of viral shedding and timing of seroconversion in a young adult RT recipient with COVID-19 who presented with severe diarrhoea and acute kidney injury requiring dialysis. She developed anti-SARS-CoV-2 IgG antibody after 5 weeks despite persistently shedding the virus in the nasopharynx until 6 weeks after symptom onset. Further studies are needed to determine if immunosuppressed patients have prolonged viral shedding and are still contagious despite seroconversion.

Indexed as

Kidney TransplantationSeroconversionAcute Kidney InjuryAdultBetacoronavirusCoronavirus InfectionsCOVID-19FemaleHumansKidneyPandemicsPneumonia, ViralRenal DialysisSARS-CoV-2Transplant RecipientsVirus Sheddingdialysisinfectionsrenal medicinerenal transplantation

Identifiers

PMID33168542
PMCPMC7654101
OpenAlexW3098496572

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.