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Outcome of lung transplantation in patients with pulmonary alveolar microlithiasis in the era of COVID-19 infection.


ABSTRACT: Lung transplant recipients are at higher risk of developing COVID-19 infection compared to other solid organ transplants. The risk further increases in the unvaccinated patients. We present a case of a 43-year-old male who underwent bilateral sequential lung transplantation for pulmonary alveolar microlithiasis (PAM) and had an uneventful recovery. However, two years post-transplantation, the patient developed chronic lung allograft dysfunction (CLAD) with bronchiolitis obliterans syndrome and two episodes of COVID-19 infection. During the second episode of COVID-19 infection, the patient developed sepsis and multi-organ dysfunction ultimately resulting in death. Our case report highlights the increased susceptibility of PAM patients' post-lung transplant to COVID-19 infection. Continuous follow-up of PAM patients' post-lung transplantation is necessary to prevent unfavorable outcomes.

SUBMITTER: Raavi L 

PROVIDER: S-EPMC11008913 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature

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Outcome of lung transplantation in patients with pulmonary alveolar microlithiasis in the era of COVID-19 infection.

Raavi Lekhya L   Garg Pankaj P   Alomari Mohammad M   Celik Nafiye B NB   Makey Ian A IA   Thomas Mathew M   Nassar Aziza A   Sareyyupoglu Basar B   Jacob Samuel S   Pham Si M SM   El-Sayed Ahmed Magdy M MM  

Journal of surgical case reports 20240410 4


Lung transplant recipients are at higher risk of developing COVID-19 infection compared to other solid organ transplants. The risk further increases in the unvaccinated patients. We present a case of a 43-year-old male who underwent bilateral sequential lung transplantation for pulmonary alveolar microlithiasis (PAM) and had an uneventful recovery. However, two years post-transplantation, the patient developed chronic lung allograft dysfunction (CLAD) with bronchiolitis obliterans syndrome and t  ...[more]

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