Prolonged SARS-CoV-2 Infection and Organizing Pneumonia in a Patient with Follicular Lymphoma, Treated with Obinutuzumab—Challenging Recognition and Treatment
A Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing coronavirus disease 2019 (COVID-19) led to a pandemic outbreak in 2019. COVID-19’s course and its treatment in immunocompromised patients are uncertain. Furthermore, there is a possibility of protracted SARS-CoV-2 infection and t...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Viruses |
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| Online Access: | https://www.mdpi.com/1999-4915/15/3/693 |
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| author | E. Łyżwa M. Sobiecka K. Lewandowska I. Siemion-Szcześniak I. Barańska M. Klatt R. Langfort M. Szturmowicz W. Tomkowski |
| author_facet | E. Łyżwa M. Sobiecka K. Lewandowska I. Siemion-Szcześniak I. Barańska M. Klatt R. Langfort M. Szturmowicz W. Tomkowski |
| author_sort | E. Łyżwa |
| collection | DOAJ |
| description | A Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing coronavirus disease 2019 (COVID-19) led to a pandemic outbreak in 2019. COVID-19’s course and its treatment in immunocompromised patients are uncertain. Furthermore, there is a possibility of protracted SARS-CoV-2 infection and the need for repeated antiviral treatment. Monoclonal antibodies against CD20, which are used, among other things, in the therapy of chronic lymphocytic leukaemia and follicular lymphoma, can induct immunosuppression. We present a case report of a patient with follicular lymphoma, treated with obinutuzumab, who was diagnosed with prolonged, ongoing SARS-CoV-2 infection and related organizing pneumonia. The recognition and the treatment were challenging which makes this case noteworthy. Antiviral therapy with several medications was administrated to our patient and their temporary, positive effect was observed. Moreover, high-dose intravenous immunoglobulin was applied, because slowly decreasing IgM and IgG levels were observed. The patient also received standard treatment of organizing pneumonia. We believe that such a complex approach can create an opportunity for recovery. Physicians should be conscious of the course and treatment possibilities facing similar cases. |
| first_indexed | 2024-03-11T05:46:52Z |
| format | Article |
| id | doaj.art-35b73ae83c134de49bd5688a8ce79567 |
| institution | Directory Open Access Journal |
| issn | 1999-4915 |
| language | English |
| last_indexed | 2024-03-11T05:46:52Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Viruses |
| spelling | doaj.art-35b73ae83c134de49bd5688a8ce795672023-11-17T14:23:00ZengMDPI AGViruses1999-49152023-03-0115369310.3390/v15030693Prolonged SARS-CoV-2 Infection and Organizing Pneumonia in a Patient with Follicular Lymphoma, Treated with Obinutuzumab—Challenging Recognition and TreatmentE. Łyżwa0M. Sobiecka1K. Lewandowska2I. Siemion-Szcześniak3I. Barańska4M. Klatt5R. Langfort6M. Szturmowicz7W. Tomkowski81st Department of Lung Diseases, National Research Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, Poland1st Department of Lung Diseases, National Research Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, Poland1st Department of Lung Diseases, National Research Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, Poland1st Department of Lung Diseases, National Research Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, PolandDepartment of Radiology, National Research Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, PolandDepartment of Microbiology, National Research Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, PolandDepartment of Pathology, National Research Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, Poland1st Department of Lung Diseases, National Research Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, Poland1st Department of Lung Diseases, National Research Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, PolandA Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing coronavirus disease 2019 (COVID-19) led to a pandemic outbreak in 2019. COVID-19’s course and its treatment in immunocompromised patients are uncertain. Furthermore, there is a possibility of protracted SARS-CoV-2 infection and the need for repeated antiviral treatment. Monoclonal antibodies against CD20, which are used, among other things, in the therapy of chronic lymphocytic leukaemia and follicular lymphoma, can induct immunosuppression. We present a case report of a patient with follicular lymphoma, treated with obinutuzumab, who was diagnosed with prolonged, ongoing SARS-CoV-2 infection and related organizing pneumonia. The recognition and the treatment were challenging which makes this case noteworthy. Antiviral therapy with several medications was administrated to our patient and their temporary, positive effect was observed. Moreover, high-dose intravenous immunoglobulin was applied, because slowly decreasing IgM and IgG levels were observed. The patient also received standard treatment of organizing pneumonia. We believe that such a complex approach can create an opportunity for recovery. Physicians should be conscious of the course and treatment possibilities facing similar cases.https://www.mdpi.com/1999-4915/15/3/693prolonged SARS-CoV-2 infectionCOVID-19obinutuzumaborganizing pneumonia |
| spellingShingle | E. Łyżwa M. Sobiecka K. Lewandowska I. Siemion-Szcześniak I. Barańska M. Klatt R. Langfort M. Szturmowicz W. Tomkowski Prolonged SARS-CoV-2 Infection and Organizing Pneumonia in a Patient with Follicular Lymphoma, Treated with Obinutuzumab—Challenging Recognition and Treatment Viruses prolonged SARS-CoV-2 infection COVID-19 obinutuzumab organizing pneumonia |
| title | Prolonged SARS-CoV-2 Infection and Organizing Pneumonia in a Patient with Follicular Lymphoma, Treated with Obinutuzumab—Challenging Recognition and Treatment |
| title_full | Prolonged SARS-CoV-2 Infection and Organizing Pneumonia in a Patient with Follicular Lymphoma, Treated with Obinutuzumab—Challenging Recognition and Treatment |
| title_fullStr | Prolonged SARS-CoV-2 Infection and Organizing Pneumonia in a Patient with Follicular Lymphoma, Treated with Obinutuzumab—Challenging Recognition and Treatment |
| title_full_unstemmed | Prolonged SARS-CoV-2 Infection and Organizing Pneumonia in a Patient with Follicular Lymphoma, Treated with Obinutuzumab—Challenging Recognition and Treatment |
| title_short | Prolonged SARS-CoV-2 Infection and Organizing Pneumonia in a Patient with Follicular Lymphoma, Treated with Obinutuzumab—Challenging Recognition and Treatment |
| title_sort | prolonged sars cov 2 infection and organizing pneumonia in a patient with follicular lymphoma treated with obinutuzumab challenging recognition and treatment |
| topic | prolonged SARS-CoV-2 infection COVID-19 obinutuzumab organizing pneumonia |
| url | https://www.mdpi.com/1999-4915/15/3/693 |
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