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Administration of Immunoglobulins in SARS-CoV-2-Positive Patient Is Associated With Fast Clinical and Radiological Healing: Case Report

Polyclonal preparation of IgM as an adjuvant therapy has been reported as a relevant immunomodulant therapy in several infectious diseases, exhibiting, in most cases, improvement of the clinical course. No drug has demonstrated therapeutic efficacy for COVID-19. Immunomodulatory treatment with hydro...

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Autores principales: Carannante, Novella, Fiorentino, Giuseppe, Corcione, Antonio, Di Sarno, Raffaele, Spatarella, Micaela, Maturo, Nicola, Fragranza, Fiorentino, Di Micco, Pierpaolo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7378528/
https://www.ncbi.nlm.nih.gov/pubmed/32766266
http://dx.doi.org/10.3389/fmed.2020.00388
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author Carannante, Novella
Fiorentino, Giuseppe
Corcione, Antonio
Di Sarno, Raffaele
Spatarella, Micaela
Maturo, Nicola
Fragranza, Fiorentino
Di Micco, Pierpaolo
author_facet Carannante, Novella
Fiorentino, Giuseppe
Corcione, Antonio
Di Sarno, Raffaele
Spatarella, Micaela
Maturo, Nicola
Fragranza, Fiorentino
Di Micco, Pierpaolo
author_sort Carannante, Novella
collection PubMed
description Polyclonal preparation of IgM as an adjuvant therapy has been reported as a relevant immunomodulant therapy in several infectious diseases, exhibiting, in most cases, improvement of the clinical course. No drug has demonstrated therapeutic efficacy for COVID-19. Immunomodulatory treatment with hydroxychloroquine and biologics as tocilizumab, in fact, has not proven to show satisfactory results in several reports. We therefore treated a selected patient with interstitial multifocal pneumonia, positive to COVID-19, with polyclonal preparation of immunoglobulins as an adjuvant therapy, obtaining in few days clinical remission and improvements in radiological findings. Based on this case report, we suggest that clinical trials are conducted to test the efficacy and safety of polyclonal immunoglobulins for adjunctive therapy of COVID-19.
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spelling pubmed-73785282020-08-05 Administration of Immunoglobulins in SARS-CoV-2-Positive Patient Is Associated With Fast Clinical and Radiological Healing: Case Report Carannante, Novella Fiorentino, Giuseppe Corcione, Antonio Di Sarno, Raffaele Spatarella, Micaela Maturo, Nicola Fragranza, Fiorentino Di Micco, Pierpaolo Front Med (Lausanne) Medicine Polyclonal preparation of IgM as an adjuvant therapy has been reported as a relevant immunomodulant therapy in several infectious diseases, exhibiting, in most cases, improvement of the clinical course. No drug has demonstrated therapeutic efficacy for COVID-19. Immunomodulatory treatment with hydroxychloroquine and biologics as tocilizumab, in fact, has not proven to show satisfactory results in several reports. We therefore treated a selected patient with interstitial multifocal pneumonia, positive to COVID-19, with polyclonal preparation of immunoglobulins as an adjuvant therapy, obtaining in few days clinical remission and improvements in radiological findings. Based on this case report, we suggest that clinical trials are conducted to test the efficacy and safety of polyclonal immunoglobulins for adjunctive therapy of COVID-19. Frontiers Media S.A. 2020-07-16 /pmc/articles/PMC7378528/ /pubmed/32766266 http://dx.doi.org/10.3389/fmed.2020.00388 Text en Copyright © 2020 Carannante, Fiorentino, Corcione, Di Sarno, Spatarella, Maturo, Fragranza and Di Micco. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Carannante, Novella
Fiorentino, Giuseppe
Corcione, Antonio
Di Sarno, Raffaele
Spatarella, Micaela
Maturo, Nicola
Fragranza, Fiorentino
Di Micco, Pierpaolo
Administration of Immunoglobulins in SARS-CoV-2-Positive Patient Is Associated With Fast Clinical and Radiological Healing: Case Report
title Administration of Immunoglobulins in SARS-CoV-2-Positive Patient Is Associated With Fast Clinical and Radiological Healing: Case Report
title_full Administration of Immunoglobulins in SARS-CoV-2-Positive Patient Is Associated With Fast Clinical and Radiological Healing: Case Report
title_fullStr Administration of Immunoglobulins in SARS-CoV-2-Positive Patient Is Associated With Fast Clinical and Radiological Healing: Case Report
title_full_unstemmed Administration of Immunoglobulins in SARS-CoV-2-Positive Patient Is Associated With Fast Clinical and Radiological Healing: Case Report
title_short Administration of Immunoglobulins in SARS-CoV-2-Positive Patient Is Associated With Fast Clinical and Radiological Healing: Case Report
title_sort administration of immunoglobulins in sars-cov-2-positive patient is associated with fast clinical and radiological healing: case report
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7378528/
https://www.ncbi.nlm.nih.gov/pubmed/32766266
http://dx.doi.org/10.3389/fmed.2020.00388
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