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Table 1 Baseline characteristics and clinical course of patients

From: Nirmatrelvir/ritonavir treatment in SARS-CoV-2 positive kidney transplant recipients – a case series with four patients

Patient

Age (years)

Kidney transplant (years prior to COVID-19)

Concomitant diseases

Induction therapy

Immunosuppressive medication

Tacrolimus level prior to COVID-19 (ng/mL)

eGFR prior to COVID-19 (mL/min/1.73 m2)

Vaccination status

(number of vaccines received)

SARS-CoV2 S1-IgG (BAU/mL)

Symptoms

NEWS 2

Oxygen dependency

COVID-19 treatment other than nirmatrelvir / ritonavir

Clinical course and complications

1

74

Deceased donor (3)

ADPKD, hypertensive heart disease, aortic regurgitation, cirrhosis CHILD–Pugh class A, PTDM

basiliximab

tacrolimus, azathioprine, corticosteroid

4.9

55

3

171

fatigue

4

no

sotrovimab

cholangiosepsis, death

2

62

ABOc living donation (5)

IgA nephropathy, PTDM, fatty liver, transplant renal artery stenosis

basiliximab

tacrolimus, mycophenolate, corticosteroid

5.5

40

4

negative

fatigue, fever, coughing

4

no

sotrovimab

improvement,

no complications

3

25

ABOi living donation (0)

posterior urethral valves, hypertension

rituximab, thymoglobulin

tacrolimus, mycophenolate, corticosteroid

6.5

55

3

 > 2180

fatigue, fever, coughing, sore throat

3

no

no

improvement,

no complications

4

60

ABOi living donation (4)

hypertension, hypertensive heart disease, PTDM

rituximab, basiliximab

tacrolimus, mycophenolate, corticosteroid

6.4

45

3

negative

fatigue, diarrhoea, coughing, vomiting, weight loss, hyponatremia, dehydration

12

max.8 L/min

sotrovimab, tocilizumab

improvement,

no complications

  1. ABOc Blood group compatible, ABOi Blood group incompatible, ADPKD autosomal dominant polycystic kidney disease, BAU Binding antibody units, COVID-19 Coronavirus disease 2019, eGFR Estimated glomerular filtration rate, IgG Immunoglobulin G, NEWS 2 National Early Warning Score 2, PTDM Post-transplantation diabetes mellitus, SARS-CoV2 Severe acute respiratory syndrome coronavirus 2; S1, subunit of spike protein of SARS-CoV