Progression of COVID-19 in a Patient on Anti-CD20 Antibody Treatment: Case Report and Literature Review

Autor: Sebastian Burgener, Philippe Rochat, Günter Dollenmaier, Gabriel Benz, Andreas D. Kistler, Rosamaria Fulchini
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Case Reports in Infectious Diseases, Vol 2022 (2022)
Druh dokumentu: article
ISSN: 2090-6633
DOI: 10.1155/2022/8712424
Popis: Accumulating evidence suggests that anti-CD20 treatments are associated with a more severe course of COVID-19. We present the case of a 72-year-old woman treated with the B-cell-depleting anti-CD20 antibody rituximab for seropositive rheumatoid arthritis with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection causing a clinical relapse more than 4 weeks after the first manifestation. Persistently positive reverse transcription polymerase chain reaction (RT-PCR) results along with a drop in cycling threshold (Ct) values, in addition to recovery of identical viral genotype by whole genome sequencing (WGS) during the disease course, argued against reinfection. No seroconversion was noted, as expected on anti-CD20 treatment. Several other case reports have highlighted potentially fatal courses of COVID-19 associated with B-cell-depleting treatments.
Databáze: Directory of Open Access Journals
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