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Recurrent COVID-19 infection in a case of rituximab-induced hypogammaglobulinaemia.
Daniel, Jefferson; Thangakunam, Balamugesh; Isaac, Barney Thomas Jesudason; Moorthy, Mahesh; Christopher, Devasahayam Jesudas.
Afiliación
  • Daniel J; Department of Pulmonary Medicine Christian Medical College Vellore India.
  • Thangakunam B; Department of Pulmonary Medicine Christian Medical College Vellore India.
  • Isaac BTJ; Department of Pulmonary Medicine Christian Medical College Vellore India.
  • Moorthy M; Department of Clinical Virology Christian Medical College Vellore India.
  • Christopher DJ; Department of Pulmonary Medicine Christian Medical College Vellore India.
Respirol Case Rep ; 10(1): e0891, 2022 Jan.
Article en En | MEDLINE | ID: mdl-34934508
Patients with immunodeficiency are at an increased risk of recurrent COVID-19 infection. They may lack the natural immune response that usually confers long-lasting immunity. Here, we present our experience managing one such patient, who had a COVID-19 infection twice, 5 months apart. He had a positive SARS-CoV-2 real-time reverse transcription polymerase chain reaction (RT-PCR) and computed tomography (CT) thorax with classical findings of COVID-19 on both occasions. He had multiple negative RT-PCR tests and two CT scans without COVID-19 features between these two infections. While the antibody response to the first infection was not detectable, the response to the second infection was robust. Live attenuated vaccines are contraindicated in patients with immunodeficiency, and other vaccines may not elicit an adequate immune response. A high index of suspicion for recurrent COVID-19 is warranted in this group of patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Respirol Case Rep Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Respirol Case Rep Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos