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10.1097/SAP.0000000000002790

http://scihub22266oqcxt.onion/10.1097/SAP.0000000000002790
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33661221!8224692!33661221
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suck abstract from ncbi


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pmid33661221      Ann+Plast+Surg 2021 ; 87 (1): 105-106
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  • Successful Treatment of Life-Threatening COVID-19 Infection in a Face Transplant Recipient #MMPMID33661221
  • Coombs DM; Kwiecien GJ; Koval C; Eghtesad B; Papay FA; Siemionow M; Gastman BR
  • Ann Plast Surg 2021[Jul]; 87 (1): 105-106 PMID33661221show ga
  • Recent literature suggests that severe COVID-19 is associated with an exaggerated immune response during viral infection, resulting in cytokine storm. Although elevated plasma interleukin 6 (IL-6) has been reported in severe COVID-19 infections, and treatment with anti-IL-6 (tocilizumab) has demonstrated promising outcomes both domestically and abroad, reports remain limited and therapeutic regimens vary considerably. Furthermore, research pertaining to transplant recipients, COVID-19 infection, and anti-IL-6 therapy remains underdeveloped. Herein, we report the successful treatment of the only reported facial vascularized composite allograft (VCA) recipient who contracted severe COVID-19 and the first reported VCA recipient with COVID-19 infection that received anti-IL-6 immunotherapy resulting in an excellent recovery despite his multiple preexisting and COVID-19-related comorbidities-adult respiratory distress syndrome, acute renal failure requiring hemodialysis, and concomitant sepsis due to extensive drug-resistant bacterial pneumonia upon presentation. To date, he has not demonstrated any anti-IL-6 drug-related adverse effects. This preliminary report also suggests that our immunosuppressed VCA patients can indeed demonstrate a robust cytokine response during COVID-19 infection and may also respond favorably to emerging anticytokine immune therapies. We hope that our experience proves helpful to other centers that might encounter critically ill VCA recipients in the ongoing COVID-19 pandemic and in the years to follow.
  • |*COVID-19[MESH]
  • |*Pandemics[MESH]
  • |Adult[MESH]
  • |Cytokine Release Syndrome[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |SARS-CoV-2[MESH]


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