Etoposide as Salvage Therapy for Cytokine Storm Due to Coronavirus Disease 2019.

Patel, Maulin; Dominguez, Eduardo; Sacher, Daniel; Desai, Parag; Chandar, Ashwin; Bromberg, Michael; Caricchio, Roberto; Criner, Gerard J et al. · Chest · 2021

case_report · Level V

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Abstract

Coronavirus disease 2019 (COVID-19) has resulted in significant morbidity and mortality because of a lack of effective therapies. Therapeutic strategies under investigation target the overactive cytokine response with anti-cytokine or immunomodulators therapies. We present a unique case of severe cytokine storm resistant to multiple anti-cytokine therapies, but eventually responsive to etoposide. Thus, etoposide may have a role as salvage therapy in treatment of cytokine storm in COVID-19. To our knowledge, this is the first reported case of use of etoposide in COVID-19.

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