Treatment of persistent COVID-19 in two B-cell-depleted patients with the monoclonal antibody Sotrovimab.

Anti-CD20-antibody B-cell depletion COVID-19 COVID-19, Coronavirus disease 2019 CoV-2-S-AB, SARS-CoV-2 S protein antibodies Ct, Cycle threshold LTOT, Long term oxygen therapy Monoclonal antibody PCR, polymerase chain reaction Persistent COVID-19 SARS-CoV-2 SARS-CoV-2, Severe acute respiratory syndrome coronavirus type2 Sotrovimab mABs, monoclonal antibodies

Journal

IDCases
ISSN: 2214-2509
Titre abrégé: IDCases
Pays: Netherlands
ID NLM: 101634540

Informations de publication

Date de publication:
2022
Historique:
received: 03 04 2022
accepted: 04 06 2022
pubmed: 14 6 2022
medline: 14 6 2022
entrez: 13 6 2022
Statut: ppublish

Résumé

Patients having undergone B-cell-depletion with anti-CD20-antibodies have a higher risk of mortality, delayed viral clearance and prolonged infection due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We report two cases of patients with persistent coronavirus disease 2019 (COVID-19) in association with B-cell-depletion that were treated with the monoclonal antibody Sotrovimab. Both patients presented with chronic symptoms of COVID-19 such as dyspnea, fatigue, and chest pain. Nasopharyngeal swabs remained positive months after the initial infection with fluctuating cycle threshold (Ct) values around 30. Both patients received a single infusion with the monoclonal SARS-CoV-2 antibody Sotrovimab, which resulted in a rapid improvement of symptoms and inflammation markers as well as negative SARS-CoV-2 swabs. A follow-up after a month showed ongoing improvement of symptoms, persistent negative SARS-CoV-2 swabs, and positive serum antibodies. Infusion with the monoclonal SARS-CoV-2 antibody led to rapid improvement in two patients with persistent COVID-19 after B-cell depletion.

Sections du résumé

Background UNASSIGNED
Patients having undergone B-cell-depletion with anti-CD20-antibodies have a higher risk of mortality, delayed viral clearance and prolonged infection due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We report two cases of patients with persistent coronavirus disease 2019 (COVID-19) in association with B-cell-depletion that were treated with the monoclonal antibody Sotrovimab.
Case presentation UNASSIGNED
Both patients presented with chronic symptoms of COVID-19 such as dyspnea, fatigue, and chest pain. Nasopharyngeal swabs remained positive months after the initial infection with fluctuating cycle threshold (Ct) values around 30. Both patients received a single infusion with the monoclonal SARS-CoV-2 antibody Sotrovimab, which resulted in a rapid improvement of symptoms and inflammation markers as well as negative SARS-CoV-2 swabs. A follow-up after a month showed ongoing improvement of symptoms, persistent negative SARS-CoV-2 swabs, and positive serum antibodies.
Conclusion UNASSIGNED
Infusion with the monoclonal SARS-CoV-2 antibody led to rapid improvement in two patients with persistent COVID-19 after B-cell depletion.

Identifiants

pubmed: 35694274
doi: 10.1016/j.idcr.2022.e01528
pii: S2214-2509(22)00156-1
pmc: PMC9172259
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e01528

Informations de copyright

© 2022 The Authors.

Déclaration de conflit d'intérêts

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Auteurs

David Totschnig (D)

Department of Medicine IV, Klinik Favoriten, Vienna Healthcare Group, Kundratstraße 3, 1100 Vienna, Austria.

Daniel Doberer (D)

Department of Respiratory and Critical Care Medicine, Klinik Floridsdorf, Vienna Health Care Group, Bruenner Straße 68, 1210 Vienna, Austria.

Renate Haberl (R)

Consultant of Infectious Diseases, Klinik Floridsdorf, Bruenner Straße 68, 1210 Vienna, Austria.

Christoph Wenisch (C)

Department of Medicine IV, Klinik Favoriten, Vienna Healthcare Group, Kundratstraße 3, 1100 Vienna, Austria.

Arschang Valipour (A)

Department of Respiratory and Critical Care Medicine, Klinik Floridsdorf, Vienna Health Care Group, Bruenner Straße 68, 1210 Vienna, Austria.

Classifications MeSH