Sustained Response After Remdesivir and Convalescent Plasma Therapy in a B-Cell–Depleted Patient With Protracted Coronavirus Disease 2019 (COVID-19)

Author:

Malsy Jakob1,Veletzky Luzia1,Heide Janna12,Hennigs Annette1,Gil-Ibanez Ines1,Stein Alexander34,Lütgehetmann Marc25,Rosien Ulrich6,Jasper Dorothea6,Peine Sven7,Hiller Jens7,Haag Friedrich8,Schmiedel Stefan1,Huber Samuel1,Jordan Sabine1,Addo Marylyn M12,Schulze zur Wiesch Julian12

Affiliation:

1. Department of Medicine, Gastroenterology, and Hepatology, Sections of Infectious Diseases and Tropical Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

2. German Center for Infection Research (DZIF), Hamburg-Lubeck-Borstel-Riems, Germany

3. Hämatologisch-Onkologische Praxis Eppendorf (HOPE), Hamburg, Germany

4. University Cancer Center Hamburg (UCCH), Hamburg, Germany

5. Institute of Medical Microbiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

6. Department of Medicine, Israelitisches Krankenhaus, Hamburg, Germany

7. Institute of Transfusion Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

8. Department of Clinical Immunology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Abstract

Abstract We provide detailed clinical, virological, and immunological data of a B-cell–depleted patient treated with obinutuzumab for follicular lymphoma with protracted coronavirus disease 2019 (COVID-19) and viremia. A sustained response was achieved after 2 courses of remdesivir and subsequent convalescent plasma therapy. Immunocompromised patients might require combined and prolonged antiviral treatment regimens.

Funder

Deutsche Forschungsgemeinschaft

German Center for Infection

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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