Clinical improvement in a patient with severe coronavirus disease 2019 after administration of hydroxychloroquine and continuous hemodiafiltlation with nafamostat mesylate.


Journal

Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy
ISSN: 1437-7780
Titre abrégé: J Infect Chemother
Pays: Netherlands
ID NLM: 9608375

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 09 04 2020
revised: 29 07 2020
accepted: 02 08 2020
pubmed: 8 9 2020
medline: 29 10 2020
entrez: 7 9 2020
Statut: ppublish

Résumé

The number of people infected with severe acute respiratory syndrome coronavirus 2 is increasing globally, and some patients have a fatal clinical course. In light of this situation, the World Health Organization (WHO) declared coronavirus disease 2019 (COVID-19) a pandemic on March 11, 2020. While clinical studies and basic research on a treatment for COVID-19 are ongoing around the world, no treatment has yet been proven to be effective. Several clinical studies have demonstrated the efficacy of chloroquine phosphate and nafamostat mesylate with COVID-19. Here, we report the case of a Japanese patient with COVID-19 with severe respiratory failure who improved following the administration of hydroxychloroquine and continuous hemodiafiltlation with nafamostat mesylate. Hence, hydroxychloroquine with nafamostat mesylate might be a treatment option for severe COVID-19.

Identifiants

pubmed: 32893123
pii: S1341-321X(20)30271-3
doi: 10.1016/j.jiac.2020.08.001
pmc: PMC7409929
pii:
doi:

Substances chimiques

Anti-Inflammatory Agents, Non-Steroidal 0
Antiviral Agents 0
Benzamidines 0
Drug Combinations 0
Guanidines 0
lopinavir-ritonavir drug combination 0
Lopinavir 2494G1JF75
Hydroxychloroquine 4QWG6N8QKH
Ritonavir O3J8G9O825
nafamostat Y25LQ0H97D

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

1319-1323

Informations de copyright

Copyright © 2020 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare no conflicts of interest in association with the present study.

Références

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Auteurs

Sho Iwasaka (S)

Emergency and Critical Care Center, Kyushu University Hospital, Fukuoka, Japan; Department of Clinical Immunology and Rheumatology/Infectious Diseases, Kyushu University Hospital, Fukuoka, Japan. Electronic address: iwasaka.sho.850@m.kyushu-u.ac.jp.

Yuji Shono (Y)

Emergency and Critical Care Center, Kyushu University Hospital, Fukuoka, Japan.

Kentaro Tokuda (K)

Emergency and Critical Care Center, Kyushu University Hospital, Fukuoka, Japan.

Kosuke Nakashima (K)

Emergency and Critical Care Center, Kyushu University Hospital, Fukuoka, Japan.

Yuzo Yamamoto (Y)

Emergency and Critical Care Center, Kyushu University Hospital, Fukuoka, Japan.

Jun Maki (J)

Emergency and Critical Care Center, Kyushu University Hospital, Fukuoka, Japan.

Yoji Nagasaki (Y)

Department of Infectious Diseases, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.

Nobuyuki Shimono (N)

Department of Clinical Immunology and Rheumatology/Infectious Diseases, Kyushu University Hospital, Fukuoka, Japan.

Tomohiko Akahoshi (T)

Emergency and Critical Care Center, Kyushu University Hospital, Fukuoka, Japan.

Tomoaki Taguchi (T)

Emergency and Critical Care Center, Kyushu University Hospital, Fukuoka, Japan.

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Classifications MeSH