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一名63岁感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的女性,她发展为重症冠状病毒病2019(COVID-19)肺炎并接受了恢复期血浆治疗。

A 63-Year-Old Woman with SARS-CoV-2 Infection, Who Developed Severe COVID-19 Pneumonia and Was Supported with Convalescent Plasma Therapy.

作者信息

Moniuszko-Malinowska Anna, Czupryna Piotr, Boczkowska-Radziwon Barbara, Wasiluk Tomasz, Borawski Karol, Dunaj Justyna, Bujno Magdalena, Radziwon Piotr, Rutkowski Krzysztof, Pancewicz Sławomir

机构信息

Department of Infectious Diseases and Neuroinfections, Medical University in Białystok, Białystok, Poland.

Regional Centre for Transfusion Medicine, Białystok, Poland.

出版信息

Am J Case Rep. 2020 Sep 29;21:e927662. doi: 10.12659/AJCR.927662.

Abstract

BACKGROUND There is no evidence-based treatment for coronavirus disease 2019 (COVID-19). We report the case of a 63-year-old woman with SARS-CoV-2 infection who developed severe COVID-19 pneumonia and was treated with convalescent plasma. CASE REPORT A 63-year-old woman who presented with severe and prolonged course of COVID-19 disease (fever up to 39.4°C, persistent cough, and dyspnea) received a convalescent plasma transfusion, which led to complete recovery. The diagnosis was confirmed by RT-PCR testing using the CFX96 Real-Time System (Bio-Rad, USA) from nasopharyngeal swabs. In laboratory tests, an increase in acute-phase parameters was observed. Chest computed tomography (CT) showed abnormalities typical for COVID-19. On days 9 and 11 of the disease, she received the convalescent plasma prepared from a single plasmapheresis donation from a male donor. This male donor was qualified as a convalescent plasma donor according to Polish guidelines, which are compliant with European guidelines. He donated plasma at the Regional Centre for Transfusion Medicine in Białystok, Poland. The therapy with convalescent plasma led to clinical improvement and normalization of inflammatory parameters. CONCLUSIONS This report presents a case of severe COVID-19 pneumonia in a 63-year-old woman who was given supportive treatment with convalescent plasma. Ongoing clinical trials will determine whether convalescent plasma therapy is an effective treatment for SARS-CoV-2 infection.

摘要

背景 对于2019冠状病毒病(COVID-19),尚无循证治疗方法。我们报告一例63岁感染严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)的女性病例,该患者发展为重症COVID-19肺炎,并接受了恢复期血浆治疗。病例报告 一名63岁女性,患有病程严重且迁延的COVID-19疾病(发热高达39.4°C,持续咳嗽和呼吸困难),接受了恢复期血浆输注,最终完全康复。通过使用CFX96实时系统(美国伯乐公司)对鼻咽拭子进行逆转录聚合酶链反应(RT-PCR)检测确诊。实验室检查发现急性期参数升高。胸部计算机断层扫描(CT)显示出COVID-19典型的异常表现。在疾病的第9天和第11天,她接受了来自一名男性供体单次单采血浆制备的恢复期血浆。根据符合欧洲指南的波兰指南,该男性供体被认定为合格的恢复期血浆供体。他在波兰比亚韦斯托克的地区输血医学中心捐献了血浆。恢复期血浆治疗使临床症状改善,炎症参数恢复正常。结论 本报告介绍了一例63岁重症COVID-19肺炎女性患者接受恢复期血浆支持治疗的病例。正在进行的临床试验将确定恢复期血浆疗法是否为SARS-CoV-2感染的有效治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55d3/7532526/8982d33ca122/amjcaserep-21-e927662-g001.jpg

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