Detailed tracking of antigen and antibody levels during coronavirus disease 2019 treatment in an immunosuppressed patient with anti-neutrophil cytoplasmic autoantibody-associated vasculitis

Copyright © 2024 Japanese Society of Chemotherapy, Japanese Association for Infectious Diseases, and Japanese Society for Infection Prevention and Control. Published by Elsevier Ltd. All rights reserved..

A 67-year-old woman with anti-neutrophil cytoplasmic autoantibody (ANCA)-associated vasculitis was not vaccinated against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and was on multiple immunosuppressive drugs. She was hospitalized because of interstitial shadowing in the lungs and diagnosed with persistent coronavirus disease 2019 (COVID-19). Despite treatment with a recombinant monoclonal antibody and antivirals, her symptoms persisted and she lacked a specific antibody response. She tested negative for SARS-CoV-2 antigen after the second antiviral treatment, and a subsequent chest radiograph showed improvement. However, the antibody levels did not change. This case highlights the importance of careful monitoring of the SARS-CoV-2 antigen and antibody levels during COVID-19 treatment in patients with immunosuppression.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy - (2024) vom: 10. Feb.

Sprache:

Englisch

Beteiligte Personen:

Yukishima, Toshitaka [VerfasserIn]
Furuhashi, Kazuki [VerfasserIn]
Shimoyama, Kumiko [VerfasserIn]
Taki, Takeru [VerfasserIn]
Azuma, Chika [VerfasserIn]
Yamazaki, Kenji [VerfasserIn]
Furukawa, Shogo [VerfasserIn]
Fukami, Soma [VerfasserIn]
Nagura, Osanori [VerfasserIn]
Katahashi, Kazuto [VerfasserIn]
Yamashita, Keita [VerfasserIn]
Maekawa, Masato [VerfasserIn]
Ogawa, Noriyoshi [VerfasserIn]

Links:

Volltext

Themen:

Anti-neutrophil cytoplasmic antibody-associated vasculitis
Case Reports
Coronavirus disease 2019
Nirmatrelvir/ritonavir
SARS-CoV-2 antibody
SARS-CoV-2 antigen
Sotrovimab

Anmerkungen:

Date Revised 15.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.jiac.2024.02.004

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368317072