顽固性 COVID-19:一名免疫力低下患者的病例报告和文献综述。

IF 1.7 4区 医学 Q3 HEMATOLOGY
Acta Haematologica Pub Date : 2024-01-01 Epub Date: 2024-02-15 DOI:10.1159/000537793
Sirine Bekkaoui, Geoffroy Venton, Fannie Bretelle, Victoria Garrido, Victor Chabbert, Stéphane Gayet, Paul Dalmas, Antoine Tichadou, Pierre-André Jarrot, Patrick Villani, Aurélie Daumas, Robin Arcani
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引用次数: 0

摘要

导言:免疫力低下的患者会出现严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)长期脱落和持续症状,这被称为持续性 COVID-19。病例介绍 我们报告了一例免疫功能低下患者的病例,该患者曾接受套细胞淋巴瘤治疗并出现 B 细胞耗竭。经实时聚合酶链反应(RT-PCR)检测证实,患者仅在痰液和支气管肺泡液中发现了持续性 COVID-19,且至少在 112 天内一直呈阳性。该患者成功接受了 SARS-CoV-2 康复血浆治疗。结论 对不明原因肺炎的免疫功能低下患者的痰液/支气管肺泡灌洗液样本中的 SARS-CoV-2 进行 RT-PCR 检测可能会有意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Persistent COVID-19: A Case Report of an Immunocompromised Patient and a Literature Review.

Introduction: Immunocompromised patients can show prolonged shedding of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and persistent symptoms, which is called persistent COVID-19.

Case presentation: We report a case of an immunocompromised patient who was treated for mantle cell lymphoma and was suffering from B-cell depletion. The patient developed persistent COVID-19, which was confirmed by real-time polymerase chain reaction (RT-PCR) tests in only sputum and bronchoalveolar fluid which remained positive for at least 112 days. The patient was successfully treated with SARS-CoV-2 convalescent plasma.

Conclusion: It could be of interest to investigate the RT-PCR results of SARS-CoV-2 in sputum/bronchoalveolar lavage samples from immunocompromised patients with unexplained pneumonia.

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来源期刊
Acta Haematologica
Acta Haematologica 医学-血液学
CiteScore
4.90
自引率
0.00%
发文量
61
审稿时长
6-12 weeks
期刊介绍: ''Acta Haematologica'' is a well-established and internationally recognized clinically-oriented journal featuring balanced, wide-ranging coverage of current hematology research. A wealth of information on such problems as anemia, leukemia, lymphoma, multiple myeloma, hereditary disorders, blood coagulation, growth factors, hematopoiesis and differentiation is contained in first-rate basic and clinical papers some of which are accompanied by editorial comments by eminent experts. These are supplemented by short state-of-the-art communications, reviews and correspondence as well as occasional special issues devoted to ‘hot topics’ in hematology. These will keep the practicing hematologist well informed of the new developments in the field.
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