1. COVID-19 Associated Collapsing FSGS in an APOL1 Homozygous Transplant Recipient After Successful COVID Vaccination: A Case Report
- Author
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Thomas R McCune, Jolanta Kowalewska, and Shirui Chen
- Subjects
Collapsing FSGS ,medicine.medical_specialty ,COVID-19 Vaccines ,Coronavirus disease 2019 (COVID-19) ,medicine.medical_treatment ,Transplant recipient ,SARS-CoV-2, severe acute respiratory syndrome coronavirus 2 ,Article ,Organ transplantation ,Immune system ,IL-2, interleukin-2 ,Humans ,Medicine ,UPCR, urine protein-creatinine ratio ,Transplantation ,Glomerulosclerosis, Focal Segmental ,business.industry ,Vaccination ,FSGS, focal segmental glomerulosclerosis ,COVID-19 ,Immunosuppression ,Apolipoprotein L1 ,Transplant Recipients ,APOL1, apolipoprotein L1 ,Immunology ,Female ,Surgery ,Hemodialysis ,business ,COVID-19, coronovirus disease 2019 - Abstract
Organ transplant recipients exhibit lower rates of immune response to coronavirus disease 2019 (COVID-19) vaccination. Even when they do mount a demonstrable antibody response, it is unclear what degree of protection is conferred against the myriad potential complications of COVID-19 infection. We present here a case of a kidney transplant recipient who was homozygous for APOL1 risk alleles on low-dose immunosuppression who developed an antibody response to COVID-19 vaccination and subsequently acquired COVID-19 infection. Although she experienced relatively minor effects in other organ systems, she developed severe collapsing focal segmental glomerulosclerosis that left her dependent on hemodialysis on hospital discharge. This suggests that COVID-19 vaccination may not provide protection from infection-associated focal segmental glomerulosclerosis in patients with APOL1 risk alleles.
- Published
- 2022