Cytokine storm and use of anakinra in a patient with COVID-19
被引:16
|
作者:
Nemchand, Priyanka
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机构:
Barnet Hosp, Royal Free London NHS Fdn Trust, Rheumatol & Gen Med, Barnet, North IrelandBarnet Hosp, Royal Free London NHS Fdn Trust, Rheumatol & Gen Med, Barnet, North Ireland
Nemchand, Priyanka
[1
]
Tahir, Hassan
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机构:
Barnet Hosp, Rheumatol & Gen Med, London, EnglandBarnet Hosp, Royal Free London NHS Fdn Trust, Rheumatol & Gen Med, Barnet, North Ireland
Tahir, Hassan
[2
]
Mediwake, Rapti
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机构:
Barnet Hosp, Royal Free London NHS Fdn Trust, Rheumatol, Barnet, North IrelandBarnet Hosp, Royal Free London NHS Fdn Trust, Rheumatol & Gen Med, Barnet, North Ireland
Mediwake, Rapti
[3
]
Lee, Jeffrey
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机构:
Barnet Hosp, Royal Free London NHS Fdn Trust, Rheumatol & Gen Med, Barnet, North IrelandBarnet Hosp, Royal Free London NHS Fdn Trust, Rheumatol & Gen Med, Barnet, North Ireland
Lee, Jeffrey
[1
]
机构:
[1] Barnet Hosp, Royal Free London NHS Fdn Trust, Rheumatol & Gen Med, Barnet, North Ireland
[2] Barnet Hosp, Rheumatol & Gen Med, London, England
[3] Barnet Hosp, Royal Free London NHS Fdn Trust, Rheumatol, Barnet, North Ireland
infections;
immunological products and vaccines;
musculoskeletal and joint disorders;
immunology;
infectious diseases;
INTERLEUKIN-1;
D O I:
10.1136/bcr-2020-237525
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
We present a case of a 50-year-old man with COVID-19 infection and acute respiratory distress syndrome as a result of a cytokine storm and use of anakinra, an interleukin 1-receptor antagonist that is normally used in the treatment of autoinflammatory disorders in adult patients. We saw a reduction in oxygen requirement and improvements in inflammatory markers and ferritin. Although we cannot determine its clinical efficacy from one case study, it may have a positive effect on the proinflammatory state that is associated with cytokine storm in COVID-19 infection.
机构:
Southern Calif Permanente Med Grp, Dept Neurol, Los Angeles Med Ctr, 1505 N Edgemont,5thFloor, Los Angeles, CA 90027 USASouthern Calif Permanente Med Grp, Dept Neurol, Los Angeles Med Ctr, 1505 N Edgemont,5thFloor, Los Angeles, CA 90027 USA
Langer-Gould, Annette
Smith, Jessica B.
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机构:
Southern Calif Permanente Med Grp, Dept Res & Evaluat, 100 S Los Robles Ave, Pasadena, CA 91101 USASouthern Calif Permanente Med Grp, Dept Neurol, Los Angeles Med Ctr, 1505 N Edgemont,5thFloor, Los Angeles, CA 90027 USA
Smith, Jessica B.
Gonzales, Edlin G.
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机构:
Southern Calif Permanente Med Grp, Dept Res & Evaluat, 100 S Los Robles Ave, Pasadena, CA 91101 USASouthern Calif Permanente Med Grp, Dept Neurol, Los Angeles Med Ctr, 1505 N Edgemont,5thFloor, Los Angeles, CA 90027 USA
Gonzales, Edlin G.
Castillo, Rhina D.
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机构:
Southern Calif Permanente Med Grp, Dept Pediat Rheumatol, Orange Cty Med Ctr, 2521 Michelle Dr, Tustin, CA 92780 USASouthern Calif Permanente Med Grp, Dept Neurol, Los Angeles Med Ctr, 1505 N Edgemont,5thFloor, Los Angeles, CA 90027 USA
Castillo, Rhina D.
Figueroa, Judith Garza
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机构:
Southern Calif Permanente Med Grp, Dept Pediat Rheumatol, Los Angeles Med Ctr, 4700 W Sunset Blvd, Los Angeles, CA 90027 USASouthern Calif Permanente Med Grp, Dept Neurol, Los Angeles Med Ctr, 1505 N Edgemont,5thFloor, Los Angeles, CA 90027 USA
Figueroa, Judith Garza
Ramanathan, Anusha
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机构:
Southern Calif Permanente Med Grp, Dept Pediat Rheumatol, Downey Med Ctr, 9449 E Imperial Hwy, Downey, CA 90242 USASouthern Calif Permanente Med Grp, Dept Neurol, Los Angeles Med Ctr, 1505 N Edgemont,5thFloor, Los Angeles, CA 90027 USA
Ramanathan, Anusha
Li, Bonnie H.
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机构:
Southern Calif Permanente Med Grp, Dept Res & Evaluat, 100 S Los Robles Ave, Pasadena, CA 91101 USASouthern Calif Permanente Med Grp, Dept Neurol, Los Angeles Med Ctr, 1505 N Edgemont,5thFloor, Los Angeles, CA 90027 USA
Li, Bonnie H.
Gould, Michael K.
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机构:
Southern Calif Permanente Med Grp, Dept Res & Evaluat, 100 S Los Robles Ave, Pasadena, CA 91101 USA
Kaiser Permanente Bernard J Tyson Sch Med, 98 S Los Robles Ave, Pasadena, CA 91101 USASouthern Calif Permanente Med Grp, Dept Neurol, Los Angeles Med Ctr, 1505 N Edgemont,5thFloor, Los Angeles, CA 90027 USA