A Case Series of Variable Manifestations of COVID-19 in Liver Transplant Recipients

Severe acute respiratory syndrome coronavirus-2 (SARS-COV-2) that is known as CO- VID-19 is a new emerging respiratory infection attributed to novel coronavirus, firstly intro- duced in Wuhan, China, at the end of 2019. This infection is still of great concern because of various presentations of the disease, which are not fully understood. The manifestations of this virus among liver transplanted patients would be more challenging in the setting of immuno- suppression. The focus of this study is to introduce different presentations of this virus in five liver transplant recipients referred to the gastroenterology ward of Taleghani Hospital, a teach- ing referral hospital in Tehran, Iran. These patients were started on different types of therapies for coronavirus infection, from only supportive care up to remdisivir infusion and hemoperfu- sion based on the severity of the disease. Additionally, they were advised to continue all their immunosuppressant agents with adjustment except for CellCept that was withheld.