Successful treatment of prolonged COVID-19 with Bamlanivimab in a patient with severe B-Cell aplasia due to treatment with an anti-CD20 monoclonal antibody: A case report

A 71-year-old female patient with B-cell depletion due to treatment with an anti-CD20 monoclonal antibody was admitted for worsening COVID-19. Overall, she had persistent viral shedding, worsening respiratory failure, and progressive pneumonia that did not improve despite dexamethasone and antibioti...

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Autores principales: Ayham Daher, Tobias Müller, Jens Spiesshoefer, Michael Dreher, Jens Panse
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Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/a834fbe74cfc422ea3aa8142f10c845b
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spelling oai:doaj.org-article:a834fbe74cfc422ea3aa8142f10c845b2021-12-04T04:33:57ZSuccessful treatment of prolonged COVID-19 with Bamlanivimab in a patient with severe B-Cell aplasia due to treatment with an anti-CD20 monoclonal antibody: A case report2213-007110.1016/j.rmcr.2021.101560https://doaj.org/article/a834fbe74cfc422ea3aa8142f10c845b2021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213007121002227https://doaj.org/toc/2213-0071A 71-year-old female patient with B-cell depletion due to treatment with an anti-CD20 monoclonal antibody was admitted for worsening COVID-19. Overall, she had persistent viral shedding, worsening respiratory failure, and progressive pneumonia that did not improve despite dexamethasone and antibiotic therapy. After administration of bamlanivimab, a monoclonal antibody with high affinity for the receptor-binding domain of the SARS-CoV-2 spike protein, inflammatory markers rapidly decreased, SARS-CoV2 RT-PCR became negative, and the patient improved clinically and radiologically. In conclusion, we demonstrated successful treatment of prolonged COVID-19 in a patient with severe B-cell aplasia with a virus-neutralizing monoclonal antibody.Ayham DaherTobias MüllerJens SpiesshoeferMichael DreherJens PanseElsevierarticleCOVID-19ImmunodeficiencyB-Cell aplasiaMonoclonal antibodiesDiseases of the respiratory systemRC705-779ENRespiratory Medicine Case Reports, Vol 34, Iss , Pp 101560- (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
Immunodeficiency
B-Cell aplasia
Monoclonal antibodies
Diseases of the respiratory system
RC705-779
spellingShingle COVID-19
Immunodeficiency
B-Cell aplasia
Monoclonal antibodies
Diseases of the respiratory system
RC705-779
Ayham Daher
Tobias Müller
Jens Spiesshoefer
Michael Dreher
Jens Panse
Successful treatment of prolonged COVID-19 with Bamlanivimab in a patient with severe B-Cell aplasia due to treatment with an anti-CD20 monoclonal antibody: A case report
description A 71-year-old female patient with B-cell depletion due to treatment with an anti-CD20 monoclonal antibody was admitted for worsening COVID-19. Overall, she had persistent viral shedding, worsening respiratory failure, and progressive pneumonia that did not improve despite dexamethasone and antibiotic therapy. After administration of bamlanivimab, a monoclonal antibody with high affinity for the receptor-binding domain of the SARS-CoV-2 spike protein, inflammatory markers rapidly decreased, SARS-CoV2 RT-PCR became negative, and the patient improved clinically and radiologically. In conclusion, we demonstrated successful treatment of prolonged COVID-19 in a patient with severe B-cell aplasia with a virus-neutralizing monoclonal antibody.
format article
author Ayham Daher
Tobias Müller
Jens Spiesshoefer
Michael Dreher
Jens Panse
author_facet Ayham Daher
Tobias Müller
Jens Spiesshoefer
Michael Dreher
Jens Panse
author_sort Ayham Daher
title Successful treatment of prolonged COVID-19 with Bamlanivimab in a patient with severe B-Cell aplasia due to treatment with an anti-CD20 monoclonal antibody: A case report
title_short Successful treatment of prolonged COVID-19 with Bamlanivimab in a patient with severe B-Cell aplasia due to treatment with an anti-CD20 monoclonal antibody: A case report
title_full Successful treatment of prolonged COVID-19 with Bamlanivimab in a patient with severe B-Cell aplasia due to treatment with an anti-CD20 monoclonal antibody: A case report
title_fullStr Successful treatment of prolonged COVID-19 with Bamlanivimab in a patient with severe B-Cell aplasia due to treatment with an anti-CD20 monoclonal antibody: A case report
title_full_unstemmed Successful treatment of prolonged COVID-19 with Bamlanivimab in a patient with severe B-Cell aplasia due to treatment with an anti-CD20 monoclonal antibody: A case report
title_sort successful treatment of prolonged covid-19 with bamlanivimab in a patient with severe b-cell aplasia due to treatment with an anti-cd20 monoclonal antibody: a case report
publisher Elsevier
publishDate 2021
url https://doaj.org/article/a834fbe74cfc422ea3aa8142f10c845b
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