Management of coronavirus disease 2019 (COVID-19) in lung transplant recipients is challenging. We report a case of a 71-year-old male who underwent bilateral lung transplantation with an unexpected COVID-19. The patient had been fully vaccinated. The patient and donor tested negative for pre-transplant COVID-19. On routine bronchoscopy on day 1 after transplant, the COVID-19 test was positive. Mycophenolic mofetil and the 2nd dose of basiliximab were skipped, but tacrolimus and prednisone were continued. He was treated with casirivimab / imdevimab and remdesivir. He was discharged on day 14 and has had no episodes of acute rejection during the 3 months.
Coronavirus disease 2019 positivity immediately after lung transplantation: A case report