Hospital-at-home care for immunodeficient patients with COVID-19: Approach to persistent COVID-19 infection

被引:0
作者
Miyamoto, Yuki [1 ,2 ]
Matsumura, Yasufumi [3 ]
Sumiyoshi, Shougen [4 ]
Morikami, Yoshiki [2 ]
Nagao, Miki [3 ]
机构
[1] Kyoto Prefectural Univ Med, Dept Emergency Med, Kaji Cho 465,Kamigyo Ku, Kyoto 6028566, Japan
[2] Yoshiki Home Care Clin, Kyoto, Japan
[3] Kyoto Univ, Dept Clin Lab Med, Grad Sch Med, Kyoto, Japan
[4] Kyoto City Hosp, Dept Infect Dis, Kyoto, Japan
关键词
COVID-19; home care medicine; hospital-at-home; immunodeficiency; primary care;
D O I
10.1002/ccr3.7294
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Key Clinical MessagePatients with COVID-19 who have undergone B-cell depletion therapy could have prolonged SARS-CoV-2 infection; therefore, even in the hospital-at-home setting, primary care physicians should carefully consider the treatment regimen and the timing of ending isolations in such cases, and should not hesitate to consult with infectious disease specialists if necessary. We presented the first reported case of hospital-at-home care for a patient with persistent COVID-19 who had undergone B-cell depletion therapy. He received hospital-at-home care, including two courses of remdesivir; however, he ultimately failed to recover and was transferred to the hospital.
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页数:6
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