Clin Infect Dis
. 2022 Sep 26;ciac769.
doi: 10.1093/cid/ciac769. Online ahead of print.
Remdesivir resistance in transplant recipients with persistent COVID-19
John I Hogan 1 , Ralf Duerr 2 , Dacia Dimartino 3 , Christian Marier 3 , Sarah E Hochman 4 , Sapna Mehta 4 , Guiqing Wang 5 , Adriana Heguy 5
Affiliations
- PMID: 36156117
- DOI: 10.1093/cid/ciac769
Abstract
New mutations conferring resistance to SARS-CoV-2 therapeutics have important clinical implications. We describe the first cases of an independently acquired V792I RNA-dependent RNA polymerase mutation developing in renal transplant recipients after remdesivir exposure. Our work underscores the need for augmented efforts to identify concerning mutations and address their clinical implications.
Keywords: Antiviral Resistance; Immunocompromise; Remdesivir; Rituximab; Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2); Solid Organ Transplant.