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持续性 COVID-19:一例免疫缺陷患者的病例报告及文献综述

英文原题:Persistent COVID-19: A Case Report of an Immunocompromised Patient and a Literature Review.

查看英文原题

Persistent COVID-19: A Case Report of an Immunocompromised Patient and a Literature Review.

PubMed 2024/02/15(内容时间) Acta Haematol Q2 · IF 2.8(JCR 2025)

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研究概要

研究 SARS-CoV-2 在免疫功能低下且患有不明原因肺炎患者的痰/支气管肺泡灌洗样本中的 RT-PCR 结果可能具有重要意义。

研究思路结论见上方概要

免疫功能低下患者可表现为严重急性呼吸综合征冠状病毒2(SARS-CoV-2)持续排毒和症状持续,称为持续性COVID-19。病例报告:我们报告一例接受套细胞淋巴瘤治疗并存在B细胞耗竭的免疫功能低下患者。该患者发展为持续性COVID-19,仅痰液和支气管肺泡灌洗液中的实时聚合酶链反应(RT-PCR)检测呈阳性,且至少持续112天。该患者经SARS-CoV-2恢复期血浆治疗成功。

展开英文摘要原文

INTRODUCTION: Immunocompromised patients can show prolonged shedding of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and persistent symptoms, which is called persistent COVID-19. CASE PRESENTATION: We report a case of an immunocompromised patient who was treated for mantle cell lymphoma and was suffering from B-cell depletion. The patient developed persistent COVID-19, which was confirmed by real-time polymerase chain reaction (RT-PCR) tests in only sputum and bronchoalveolar fluid which remained positive for at least 112 days. The patient was successfully treated with SARS-CoV-2 convalescent plasma. CONCLUSION: It could be of interest to investigate the RT-PCR results of SARS-CoV-2 in sputum/bronchoalveolar lavage samples from immunocompromised patients with unexplained pneumonia.

论文信息

作者
Bekkaoui S、Venton G、Bretelle F、Garrido V、Chabbert V、Gayet S、Dalmas P、Tichadou A
单位
Internal Medicine and Therapeutics Department, CHU La Timone, Assistance Publique-Hôpitaux de Marseille (AP-HM), Marseille, France.France
文献类型
病例报告 · 综述
期刊
Acta haematologica2024
原文标识
PubMed 38359806 · DOI 10.1159/000537793