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10.1002/jmv.25964

http://scihub22266oqcxt.onion/10.1002/jmv.25964
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32369191!7267594!32369191
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suck abstract from ncbi


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pmid32369191      J+Med+Virol 2020 ; 92 (10): 2042-2049
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  • Tocilizumab for the treatment of severe coronavirus disease 2019 #MMPMID32369191
  • Alattar R; Ibrahim TBH; Shaar SH; Abdalla S; Shukri K; Daghfal JN; Khatib MY; Aboukamar M; Abukhattab M; Alsoub HA; Almaslamani MA; Omrani AS
  • J Med Virol 2020[Oct]; 92 (10): 2042-2049 PMID32369191show ga
  • Tocilizumab, an interleukin-6 inhibitor, may ameliorate the inflammatory manifestations associated with severe coronavirus disease 2019 (COVID-19) and thus improve clinical outcomes. This was a retrospective review of patients with laboratory-confirmed severe COVID-19 who received tocilizumab and completed 14 days of follow up. Twenty-five patients were included, median age was 58 years (interquartile range, 50-63) and the majority were males (92%). Co-morbidities included diabetes mellitus (48%), chronic kidney disease (16%), and cardiovascular disease (12%). Fever (92%), cough (84%), and dyspnea (72%) were the commonest presenting symptoms. All patients received at least two concomitant investigational antiviral agents. Median oral temperature was on day 1, 3, and 7 was 38.0 degrees C, 37.3 degrees C (P = .043), and 37.0 degrees C (P = .064), respectively. Corresponding median C-reactive protein was 193 and 7.9 mg/L (P < .0001) and <6 mg/L (P = .0001). Radiological improvement was noted in 44% of patients by day 7% and 68% by day 14. Nine patients (36%) were discharged alive from intensive care unit and three (12%) died. The proportion of patients on invasive ventilation declined from (84%) at the time of tocilizumab initiation to 60% on day 7 (P = .031) and 28% on day 14 (P = .001). The majority (92%) of patients experienced at least one adverse event. However, it is not possible to ascertain which adverse events were directly related to tocilizumab therapy. In patients with severe COVID-19, tocilizumab was associated with dramatic decline in inflammatory markers, radiological improvement and reduced ventilatory support requirements. Given the study's limitations, the results require assessment in adequately powered randomized controlled trials.
  • |*COVID-19 Drug Treatment[MESH]
  • |Antibodies, Monoclonal, Humanized/*therapeutic use[MESH]
  • |Antiviral Agents/therapeutic use[MESH]
  • |C-Reactive Protein/analysis[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Qatar[MESH]
  • |Respiration, Artificial[MESH]


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