COVID‐19 is novel infectious disease with an evolving understanding of its epidemiology and clinical manifestations. Immunocompromised patients often present atypical presentations of viral diseases. Herein we report a case of a COVID‐19 infection in a solid organ transplant recipient, in which the first clinical symptoms were of gastrointestinal viral disease and fever, which further progressed to respiratory symptoms in 48 hours. In these high risk populations, protocols for screening for SARS‐Cov2 may be needed to be re‐evaluated.

中文翻译：

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肾移植受者 COVID-19 病例报告：免疫抑制会改变临床表现吗？

COVID-19 是一种新型传染病，对其流行病学和临床表现的认识不断加深。免疫功能低下的患者通常表现出病毒性疾病的非典型表现。在此，我们报告了一例实体器官移植受者感染 COVID-19 的病例，其中最初的临床症状是胃肠道病毒病和发烧，并在 48 小时内进一步发展为呼吸道症状。在这些高危人群中，可能需要重新评估 SARS-Cov2 筛查方案。