Evidence map›Paper›PMID 33431539›Full record

ArticleBMJ case reports2021

Complete recovery from COVID-19 of a kidney-pancreas transplant recipient: potential benefit from everolimus?

Vanessa C Heron, Cindy-Anne T Bach, Natasha E Holmes, John B Whitlam

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Systematic Down-Selection of Repurposed Drug Candidates for COVID-19.International journal of molecular sciences · 2022
    Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. COVID-19 in lung transplant recipients: A single-center experience.Transplant infectious disease : an official journal of the Transplantation Society · 2021
    Observational
  7. Article
  8. Article
  9. Review
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 1 institution in 1 country.

Vanessa C HeronDepartment of Nephrology, Austin Health, Heidelberg, Victoria, Australia.ORCID http://orcid.org/0000-0002-7659-6264
Cindy-Anne T BachDepartment of General Medicine, Austin Health, Heidelberg, Victoria, Australia.
Natasha E HolmesInfectious Diseases, Austin Health, Heidelberg, Victoria, Australia.ORCID http://orcid.org/0000-0001-8501-4054
John B WhitlamDepartment of Nephrology, Austin Health, Heidelberg, Victoria, Australia john.whitlam@austin.org.au.ORCID http://orcid.org/0000-0003-2202-1462
Austin Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a kidney-pancreas transplant recipient who achieved complete recovery from COVID-19. A 45-year-old patient with T3 paraplegia underwent kidney-pancreas transplantation 18 years ago, followed by a subsequent kidney transplant 9 years ago, and presented with fever, hypoxia and hypotension after exposure to two confirmed cases of COVID-19. History of solid organ transplant, pre-existing renal impairment, asthma and an elevated D-dimer were identified as established risk factors for severe COVID-19. Supportive management was provided, baseline immunosuppression with everolimus was continued, and oral prednisolone was increased. A complete recovery was observed. Given the favourable outcome despite risk factors for severe COVID-19, we identify and review the potential mitigating roles of immunosuppression and mammalian target of rapamycin (mTOR) inhibitors in this disease. Further investigation is required to establish whether mTOR inhibitors could be used as therapeutic agents to treat COVID-19, or as alternative immunosuppression implemented early in the COVID-19 disease course.

Indexed as

Kidney TransplantationPancreas TransplantationAccidents, TrafficAsthmaCOVID-19Diabetes Mellitus, Type 1EverolimusFeverFibrin Fibrinogen Degradation ProductsGlucocorticoidsGraft RejectionHumansHypotensionHypoxiaImmunosuppressive AgentsMaleEverolimusFibrin Fibrinogen Degradation Productsfibrin fragment DGlucocorticoidsImmunosuppressive AgentsPrednisoloneTOR Serine-Threonine Kinasesdrugs: infectious diseasesrenal transplantation

Identifiers

PMID33431539
PMCPMC7802699
OpenAlexW3119548177

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.