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suck abstract from ncbi


10.1111/nep.13767

http://scihub22266oqcxt.onion/10.1111/nep.13767
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32776624!7436382!32776624
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suck abstract from ncbi


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pmid32776624      Nephrology+(Carlton) 2020 ; 25 (11): 845-849
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  • Clinical benefits of Tocilizumab in COVID-19-related cytokine release syndrome in a patient with end-stage kidney disease on haemodialysis in Australia #MMPMID32776624
  • Stephen S; Park YA; Chrysostomou A
  • Nephrology (Carlton) 2020[Nov]; 25 (11): 845-849 PMID32776624show ga
  • COVID-19 remains a global pandemic with more than 10 million cases and half a million deaths worldwide. The disease manifestations in patients with chronic kidney disease and especially those on haemodialysis are still being understood, with only a few overseas case series, and small observational trials thus far. It appears that the disease is more severe in this patient cohort. Part of the pathophysiology of severe COVID-19 is related to accompanying cytokine release syndrome (CRS). Tocilizumab, an interleukin-6 inhibitor, has been trialled for treatment of CRS in COVID-19, but not yet approved. We present a case of an Australian patient on long-term haemodialysis with severe COVID-19 who was successfully treated with Tocilizumab. The peak of her illness was on day 7, with a C-reactive protein of 624 mg/L (reference < 5 mg/L), ferritin of 5293 ng/mL (reference 30-500 ng/mL), and interleukin-6 level 1959.7 pg/mL, consistent with CRS. She was severely hypoxic on a ventilator, with rising inotropic requirements. With the use of Tocilizumab, there was a significant and immediate response in her inflammatory markers, and she made a steady recovery. The patient was discharged home 6 weeks after presentation.
  • |*Anemia/etiology/therapy[MESH]
  • |*Coronavirus Infections/complications/diagnosis/immunology/therapy[MESH]
  • |*Cytokine Release Syndrome/blood/therapy/virology[MESH]
  • |*Interleukin-6/antagonists & inhibitors/blood[MESH]
  • |*Kidney Failure, Chronic/complications/therapy[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/complications/diagnosis/immunology/therapy[MESH]
  • |Aged[MESH]
  • |Antibodies, Monoclonal, Humanized/*administration & dosage[MESH]
  • |Blood Transfusion/methods[MESH]
  • |C-Reactive Protein/analysis[MESH]
  • |COVID-19[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunologic Factors/administration & dosage[MESH]
  • |Monitoring, Immunologic/methods[MESH]
  • |Renal Dialysis/methods[MESH]
  • |Respiration, Artificial/methods[MESH]


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