Weather the Cytokine Storm: A Report of Successful Management of a Colon Cancer Survivor and a Critically Ill Patient with COVID-19
Patients with novel corona virus infection (COVID-19) can develop acute respiratory failure secondary to acute respiratory distress syndrome. Cytokine storm is suggested as one of underlying mechanisms for the rapid clinical decline. Immunocompromised patients and cancer patients are at particular r...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2020-06-01
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| Series: | Case Reports in Oncology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/509507 |
| _version_ | 1818515488908509184 |
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| author | Mansoor Khalid Tarek Dernaika Lirin Jacob Pavan Annamaraju Achuta K. Guddati |
| author_facet | Mansoor Khalid Tarek Dernaika Lirin Jacob Pavan Annamaraju Achuta K. Guddati |
| author_sort | Mansoor Khalid |
| collection | DOAJ |
| description | Patients with novel corona virus infection (COVID-19) can develop acute respiratory failure secondary to acute respiratory distress syndrome. Cytokine storm is suggested as one of underlying mechanisms for the rapid clinical decline. Immunocompromised patients and cancer patients are at particular risk for poor outcomes due to COVID-19 infection. This case report describes the presentation and clinical course of a cancer survivor who became critically ill and required mechanical ventilation. The patient was treated with hydroxychloroquine, azithromycin, and ceftriaxone; however, he remained febrile, hypoxemic, continued to require full mechanical ventilator support and his chest X-ray showed increased bilateral infiltrates. The patient was treated with tocilizumab, after which he improved and was successfully extubated. This report illustrates a possible role of tocilizumab in management of cytokine storm in critically ill patients with COVID-19 infection. |
| first_indexed | 2024-12-11T00:29:30Z |
| format | Article |
| id | doaj.art-28a8210796884fdb83bef382ff01fe81 |
| institution | Directory Open Access Journal |
| issn | 1662-6575 |
| language | English |
| last_indexed | 2024-12-11T00:29:30Z |
| publishDate | 2020-06-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Oncology |
| spelling | doaj.art-28a8210796884fdb83bef382ff01fe812022-12-22T01:27:25ZengKarger PublishersCase Reports in Oncology1662-65752020-06-0113275475910.1159/000509507509507Weather the Cytokine Storm: A Report of Successful Management of a Colon Cancer Survivor and a Critically Ill Patient with COVID-19Mansoor KhalidTarek DernaikaLirin JacobPavan AnnamarajuAchuta K. GuddatiPatients with novel corona virus infection (COVID-19) can develop acute respiratory failure secondary to acute respiratory distress syndrome. Cytokine storm is suggested as one of underlying mechanisms for the rapid clinical decline. Immunocompromised patients and cancer patients are at particular risk for poor outcomes due to COVID-19 infection. This case report describes the presentation and clinical course of a cancer survivor who became critically ill and required mechanical ventilation. The patient was treated with hydroxychloroquine, azithromycin, and ceftriaxone; however, he remained febrile, hypoxemic, continued to require full mechanical ventilator support and his chest X-ray showed increased bilateral infiltrates. The patient was treated with tocilizumab, after which he improved and was successfully extubated. This report illustrates a possible role of tocilizumab in management of cytokine storm in critically ill patients with COVID-19 infection.https://www.karger.com/Article/FullText/509507cancercovid-19cytokinetocilizumabvirus |
| spellingShingle | Mansoor Khalid Tarek Dernaika Lirin Jacob Pavan Annamaraju Achuta K. Guddati Weather the Cytokine Storm: A Report of Successful Management of a Colon Cancer Survivor and a Critically Ill Patient with COVID-19 Case Reports in Oncology cancer covid-19 cytokine tocilizumab virus |
| title | Weather the Cytokine Storm: A Report of Successful Management of a Colon Cancer Survivor and a Critically Ill Patient with COVID-19 |
| title_full | Weather the Cytokine Storm: A Report of Successful Management of a Colon Cancer Survivor and a Critically Ill Patient with COVID-19 |
| title_fullStr | Weather the Cytokine Storm: A Report of Successful Management of a Colon Cancer Survivor and a Critically Ill Patient with COVID-19 |
| title_full_unstemmed | Weather the Cytokine Storm: A Report of Successful Management of a Colon Cancer Survivor and a Critically Ill Patient with COVID-19 |
| title_short | Weather the Cytokine Storm: A Report of Successful Management of a Colon Cancer Survivor and a Critically Ill Patient with COVID-19 |
| title_sort | weather the cytokine storm a report of successful management of a colon cancer survivor and a critically ill patient with covid 19 |
| topic | cancer covid-19 cytokine tocilizumab virus |
| url | https://www.karger.com/Article/FullText/509507 |
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