Successful dual antiviral therapy with remdesivir and ensitrelvir in a case of prolonged COVID-19 following B-cell depleting immunotherapy for malignant lymphoma

Autor: Seowoong Jung, Yu Yagi, Kazuaki Fukushima, Yukari Nishikawa, Masaru Tanaka, Taiichiro Kobayashi, Keishiro Yajima, Atsushi Ajisawa, Akifumi Imamura
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: IDCases, Vol 34, Iss , Pp e01890- (2023)
Druh dokumentu: article
ISSN: 2214-2509
DOI: 10.1016/j.idcr.2023.e01890
Popis: Prolonged COVID-19 following B-cell depleting immunotherapy for malignant lymphoma is characterized by repeated cycles of remission followed by symptom recurrence, persistent detection of SARS-CoV-2, and profound humoral immunodeficiency. To the best of our knowledge, the present report is the first to describe dual antiviral therapy with remdesivir and ensitrelvir for prolonged COVID-19 following B-cell depleting immunotherapy for malignant lymphoma. A 59-year-old, female patient with a history of follicular lymphoma treated with obinutuzumab and bendamustine contracted COVID-19 despite receiving a single course of standard remdesivir therapy. She received dual antiviral therapy with remdesivir following a five-day course of oral ensitrelvir, which improved her clinical symptoms and chest radiology findings and cleared SARS-CoV-2 from respiratory samples. Dual antiviral therapy with remdesivir and ensitrelvir may be sufficient to stop viral replication and promote clinical resolution in prolonged COVID-19 following B-cell depleting immunotherapy for malignant lymphoma.
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