Similarly, Alberici et al., in a single center observational study which was conducted in Italy, described a rapid clinical deterioration associated with chest radiographic deterioration and escalating oxygen requirement in 20 kidney transplant recipients with SARS-CoV-2 pneumonia. Thus, in this limited cohort of long-term renal transplant patients, SARS-CoV-2 induced pneumonia is characterized by a high risk of renal progression and a significant mortality rate. Despite on average a relatively benign onset of the disease, a large rate of the patients showed worsening chest radiographs and consequently needed an escalation of the supplemental oxygen. Of note, 25% of the patients died despite an aggressive approach to immunosuppression withdrawal and early administration of antiviral therapy [130].