COVID-19 rebound after oral treatment in a nursing home facility: A case series

Paxlovid (nirmatrevir/ritonavir) is a 2 drug regimen taken together twice daily for 5 days was authorized for emergency use for nonhospitalized patients who are at risk for the progression of coronavirus disease (COVID-19). However, recurrence of symptoms 2–8 days after completing the treatment cour...

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Main Authors: Alex P. Betrosian, Stavros M. Christou, Stavroula Kalathaki
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Infectious Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772431X22000521
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author Alex P. Betrosian
Stavros M. Christou
Stavroula Kalathaki
author_facet Alex P. Betrosian
Stavros M. Christou
Stavroula Kalathaki
author_sort Alex P. Betrosian
collection DOAJ
description Paxlovid (nirmatrevir/ritonavir) is a 2 drug regimen taken together twice daily for 5 days was authorized for emergency use for nonhospitalized patients who are at risk for the progression of coronavirus disease (COVID-19). However, recurrence of symptoms 2–8 days after completing the treatment course has been recently recognized. In some cases patients tested negative on a direct SARS-CoV-2 viral test and then tested positive again (rebound COVID-19). The disease is mild and requires no additional antiviral treatment. Data are limited based on anecdotal case reports and few studies. According to the available data it is unclear if rebound symptoms are due to the drug treatment, drug resistance, re-infection or impaired immunity.
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spelling doaj.art-45a654227eba4dc684692d26dbd97f7f2024-01-26T05:36:07ZengElsevierInfectious Medicine2772-431X2022-12-0114285287COVID-19 rebound after oral treatment in a nursing home facility: A case seriesAlex P. Betrosian0Stavros M. Christou1Stavroula Kalathaki2Evgenidion Hospital, Athens University, Papadiamantopoulou 20, 11527 Athens, Greece; Kallisto Skilled Nursing Facility, Athens, Greece; Corresponding author.Kallisto Skilled Nursing Facility, Athens, GreeceKallisto Skilled Nursing Facility, Athens, GreecePaxlovid (nirmatrevir/ritonavir) is a 2 drug regimen taken together twice daily for 5 days was authorized for emergency use for nonhospitalized patients who are at risk for the progression of coronavirus disease (COVID-19). However, recurrence of symptoms 2–8 days after completing the treatment course has been recently recognized. In some cases patients tested negative on a direct SARS-CoV-2 viral test and then tested positive again (rebound COVID-19). The disease is mild and requires no additional antiviral treatment. Data are limited based on anecdotal case reports and few studies. According to the available data it is unclear if rebound symptoms are due to the drug treatment, drug resistance, re-infection or impaired immunity.http://www.sciencedirect.com/science/article/pii/S2772431X22000521COVID-19InfectionPaxlovidNursing facility
spellingShingle Alex P. Betrosian
Stavros M. Christou
Stavroula Kalathaki
COVID-19 rebound after oral treatment in a nursing home facility: A case series
Infectious Medicine
COVID-19
Infection
Paxlovid
Nursing facility
title COVID-19 rebound after oral treatment in a nursing home facility: A case series
title_full COVID-19 rebound after oral treatment in a nursing home facility: A case series
title_fullStr COVID-19 rebound after oral treatment in a nursing home facility: A case series
title_full_unstemmed COVID-19 rebound after oral treatment in a nursing home facility: A case series
title_short COVID-19 rebound after oral treatment in a nursing home facility: A case series
title_sort covid 19 rebound after oral treatment in a nursing home facility a case series
topic COVID-19
Infection
Paxlovid
Nursing facility
url http://www.sciencedirect.com/science/article/pii/S2772431X22000521
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