Successful Treatment of Prolonged, Severe Coronavirus Disease 2019 Lower Respiratory Tract Disease in a B cell Acute Lymphoblastic Leukemia Patient With an Extended Course of Remdesivir and Nirmatrelvir/Ritonavir.

Ford, Emily S; Simmons, William; Karmarkar, Ellora N; Yoke, Leah H; Braimah, Ayodale B; Orozco, Johnnie J; Ghiuzeli, Cristina M; Barnhill, Serena et al. · Clin Infect Dis · 2023

case_report · Level V

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Abstract

A patient with B-cell acute lymphoblastic leukemia (ALL) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had persistent, progressive pneumonia with viremia after 5 months of infection despite monoclonal antibodies, intravenous (IV) remdesivir and prolonged oral steroids. Twenty days of nirmatrelvir/ritonavir and 10 days of IV remdesivir led to full recovery.

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