Case Report: Convalescent Plasma, a Targeted Therapy for Patients with CVID and Severe COVID-19.


Journal

Frontiers in immunology
ISSN: 1664-3224
Titre abrégé: Front Immunol
Pays: Switzerland
ID NLM: 101560960

Informations de publication

Date de publication:
2020
Historique:
received: 20 08 2020
accepted: 26 10 2020
entrez: 17 12 2020
pubmed: 18 12 2020
medline: 29 12 2020
Statut: epublish

Résumé

The disease course of COVID-19 in patients with immunodeficiencies is unclear, as well as the optimal therapeutic strategy. We report a case of a 37-year old male with common variable immunodeficiency disorder and a severe SARS-CoV-2 infection. After administration of convalescent plasma, the patient's condition improved rapidly. Despite clinical recovery, viral RNA remained detectable up to 60 days after onset of symptoms. We propose that convalescent plasma might be considered as a treatment option in patients with CVID and severe COVID-19. In addition, in patients with immunodeficiencies, a different clinical course is possible, with prolonged viral shedding.

Identifiants

pubmed: 33329586
doi: 10.3389/fimmu.2020.596761
pmc: PMC7714937
doi:

Substances chimiques

Antibodies, Viral 0
RNA, Viral 0

Types de publication

Case Reports Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

596761

Informations de copyright

Copyright © 2020 Van Damme, Tavernier, Van Roy, De Leeuw, Declercq, Bosteels, Maes, De Bruyne, Bogaert, Bosteels, Hoste, Naesens, Maes, Grifoni, Weiskopf, Sette, Depuydt, Van Braeckel, Haerynck and Lambrecht.

Déclaration de conflit d'intérêts

AS is a consultant for Gritstone, Flow Pharma, Avalia. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Karel F A Van Damme (KFA)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Laboratory of Immunoregulation and Mucosal Immunology, VIB-UGent Center for Inflammation Research, Ghent, Belgium.

Simon Tavernier (S)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Unit of Molecular Signal Transduction in Inflammation, VIB-UGent Center for Inflammation Research, Ghent, Belgium.

Nele Van Roy (N)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.

Elisabeth De Leeuw (E)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Laboratory of Immunoregulation and Mucosal Immunology, VIB-UGent Center for Inflammation Research, Ghent, Belgium.

Jozefien Declercq (J)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Laboratory of Immunoregulation and Mucosal Immunology, VIB-UGent Center for Inflammation Research, Ghent, Belgium.

Cédric Bosteels (C)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Laboratory of Immunoregulation and Mucosal Immunology, VIB-UGent Center for Inflammation Research, Ghent, Belgium.

Bastiaan Maes (B)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Laboratory of Immunoregulation and Mucosal Immunology, VIB-UGent Center for Inflammation Research, Ghent, Belgium.

Marieke De Bruyne (M)

Center for Medical Genetics, Ghent University Hospital, Ghent, Belgium.

Delfien Bogaert (D)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Primary Immunodeficiency Research Lab, Jeffrey Modell Diagnosis and Research Center, Ghent University Hospital, Ghent, Belgium.

Victor Bosteels (V)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Laboratory of ER Stress and Inflammation, VIB-UGent Center for Inflammation Research, Ghent, Belgium.

Levi Hoste (L)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Primary Immunodeficiency Research Lab, Jeffrey Modell Diagnosis and Research Center, Ghent University Hospital, Ghent, Belgium.

Leslie Naesens (L)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Primary Immunodeficiency Research Lab, Jeffrey Modell Diagnosis and Research Center, Ghent University Hospital, Ghent, Belgium.

Piet Maes (P)

Department of Microbiology, Immunology, and Transplantation, Rega Institute for Medical Research, Division of Clinical and Epidemiological Virology, KU Leuven, Leuven, Belgium.

Alba Grifoni (A)

Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, United States.

Daniela Weiskopf (D)

Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, United States.

Alessandro Sette (A)

Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA, United States.
Department of Medicine, Division of Infectious Diseases and Global Public Health, University of California, San Diego (UCSD), CA, United States.

Pieter Depuydt (P)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Department of Intensive Care, Ghent University Hospital, Ghent, Belgium.

Eva Van Braeckel (E)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Department of Respiratory Medicine, Ghent University Hospital, Ghent, Belgium.

Filomeen Haerynck (F)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Primary Immunodeficiency Research Lab, Jeffrey Modell Diagnosis and Research Center, Ghent University Hospital, Ghent, Belgium.

Bart N Lambrecht (BN)

Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.
Laboratory of Immunoregulation and Mucosal Immunology, VIB-UGent Center for Inflammation Research, Ghent, Belgium.
Department of Respiratory Medicine, Ghent University Hospital, Ghent, Belgium.
Department of Pulmonary Medicine, Erasmus Medical Center, Rotterdam, Netherlands.

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