Persistent replication of SARS-CoV-2 in a severely immunocompromised patient treated with several courses of remdesivir

被引:40
作者
Camprubi, Daniel [1 ]
Gaya, Anna [2 ]
Marcos, Maria Angeles [3 ]
Marti-Soler, Helena [1 ]
Soriano, Alex [4 ]
Mosquera, Maria del Mar [3 ]
Oliver, Aina [2 ]
Santos, Marta [3 ]
Munoz, Jose [1 ]
Garcia-Vidal, Carol [4 ]
机构
[1] Univ Barcelona, Barcelona Inst Global Hlth ISGlobal Hosp Clin, C Rosello 132, Barcelona 08036, Spain
[2] Hosp Clinic, Hematol Dept, Barcelona, Spain
[3] Hosp Clinic, Microbiol Dept, Barcelona, Spain
[4] Hosp Clinic, Infect Dis Dept, Barcelona, Spain
关键词
Remdesivir; COVID-19; SARS-CoV-2; Immunosuppression; Lymphoma;
D O I
10.1016/j.ijid.2020.12.050
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Microbiological response of SARS-CoV-2 to remdesivir in immunocompromised patients has not been evaluated. We present the case of a severely immunocompromised patient with persistent replication of SARS-CoV-2, who required different courses of remdesivir. Short courses of remdesivir might be insufficient in immunocompromised patients due to prolonged viral clearance. ? 2020 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-ncnd/4.0/). Microbiological response of SARS-CoV-2 to remdesivir in immunocompromised patients has not been evaluated. We present the case of a severely immunocompromised patient with persistent replication of SARS-CoV-2, who required different courses of remdesivir. Short courses of remdesivir might be insufficient in immunocompromised patients due to prolonged viral clearance. ? 2020 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc
引用
收藏
页码:379 / 381
页数:3
相关论文
共 9 条
[1]  
Beigel JH, 2020, NEW ENGL J MED, V383, P1813, DOI [10.1056/NEJMoa2007764, 10.1056/NEJMc2022236]
[2]   Persistence and Evolution of SARS-CoV-2 in an Immunocompromised Host [J].
Choi, Bina ;
Choudhary, Manish C. ;
Regan, James ;
Sparks, Jeffrey A. ;
Padera, Robert F. ;
Qiu, Xueting ;
Solomon, Isaac H. ;
Kuo, Hsiao-Hsuan ;
Boucau, Julie ;
Bowman, Kathryn ;
Das Adhikari, U. ;
Winkler, Marisa L. ;
Mueller, Alisa A. ;
Hsu, Tiffany Y. -T. ;
Desjardins, Michael ;
Baden, Lindsey R. ;
Chan, Brian T. ;
Walker, Bruce D. ;
Lichterfeld, Mathias ;
Brigl, Manfred ;
Kwon, Douglas S. ;
Kanjilal, Sanjat ;
Richardson, Eugene T. ;
Jonsson, A. Helena ;
Alter, Galit ;
Barczak, Amy K. ;
Hanage, William P. ;
Yu, Xu G. ;
Gaiha, Gaurav D. ;
Seaman, Michael S. ;
Cernadas, Manuela ;
Li, Jonathan Z. .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (23) :2291-2293
[3]   Remdesivir for 5 or 10 Days in Patients with Severe Covid-19 [J].
Goldman, Jason D. ;
Lye, David C. B. ;
Hui, David S. ;
Marks, Kristen M. ;
Bruno, Raffaele ;
Montejano, Rocio ;
Spinner, Christoph D. ;
Galli, Massimo ;
Ahn, Mi-Young ;
Nahass, Ronald G. ;
Chen, Yao-Shen ;
SenGupta, Devi ;
Hyland, Robert H. ;
Osinusi, Anu O. ;
Cao, Huyen ;
Blair, Christiana ;
Wei, Xuelian ;
Gaggar, Anuj ;
Brainard, Diana M. ;
Towner, William J. ;
Munoz, Jose ;
Mullane, Kathleen M. ;
Marty, Francisco M. ;
Tashima, Karen T. ;
Diaz, George ;
Subramanian, Aruna .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (19) :1827-1837
[4]  
HAN Y., 2020, Clinical Immunology, P108413, DOI DOI 10.1016/J.CLIM.2020.108413
[5]   Persistent COVID-19 in an Immunocompromised Patient Temporarily Responsive to Two Courses of Remdesivir Therapy [J].
Helleberg, Marie ;
Niemann, Carsten Utoft ;
Moestrup, Kasper Sommerlund ;
Kirk, Ole ;
Lebech, Anne-Mette ;
Lane, Clifford ;
Lundgren, Jens .
JOURNAL OF INFECTIOUS DISEASES, 2020, 222 (07) :1103-1107
[6]   Clinical and virological data of the first cases of COVID-19 in Europe: a case series [J].
Lescure, Francois-Xavier ;
Bouadma, Lila ;
Duc Nguyen ;
Parisey, Marion ;
Wicky, Paul-Henri ;
Behillil, Sylvie ;
Gaymard, Alexandre ;
Bouscambert-Duchamp, Maude ;
Donati, Flora ;
Le Hingrat, Quentin ;
Enouf, Vincent ;
Houhou-Fidouh, Nadhira ;
Valette, Martine ;
Mailles, Alexandra ;
Lucet, Jean-Christophe ;
Mentre, France ;
Duval, Xavier ;
Descamps, Diane ;
Malvy, Denis ;
Timsit, Jean-Francois ;
Lina, Bruno ;
Van-der-Werf, Sylvie ;
Yazdanpanah, Yazdan .
LANCET INFECTIOUS DISEASES, 2020, 20 (06) :697-706
[7]   Pharmacologic Treatments for Coronavirus Disease 2019 (COVID-19) A Review [J].
Sanders, James M. ;
Monogue, Marguerite L. ;
Jodlowski, Tomasz Z. ;
Cutrell, James B. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (18) :1824-1836
[8]  
World Health Organization, 2020, Situation Report-51: Coronavirus disease 2019 (COVID-19), DOI DOI 10.1001/JAMA.2020.2633
[9]   Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study [J].
Zhou, Fei ;
Yu, Ting ;
Du, Ronghui ;
Fan, Guohui ;
Liu, Ying ;
Liu, Zhibo ;
Xiang, Jie ;
Wang, Yeming ;
Song, Bin ;
Gu, Xiaoying ;
Guan, Lulu ;
Wei, Yuan ;
Li, Hui ;
Wu, Xudong ;
Xu, Jiuyang ;
Tu, Shengjin ;
Zhang, Yi ;
Chen, Hua ;
Cao, Bin .
LANCET, 2020, 395 (10229) :1054-1062