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10.1177/23247096211019557

http://scihub22266oqcxt.onion/10.1177/23247096211019557
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34105382!8193653!34105382
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suck abstract from ncbi


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pmid34105382      J+Investig+Med+High+Impact+Case+Rep 2021 ; 9 (ä): 23247096211019557
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  • Tocilizumab for the Treatment of COVID-19-Induced Cytokine Storm and Acute Respiratory Distress Syndrome: A Case Series From a Rural Level 1 Trauma Center in Western Pennsylvania #MMPMID34105382
  • Suresh K; Figart M; Formeck S; Mehmood T; Abdel Salam M; Bassilly D
  • J Investig Med High Impact Case Rep 2021[Jan]; 9 (ä): 23247096211019557 PMID34105382show ga
  • An outbreak of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2, initially in December 2019 at Wuhan, China, subsequently spread around the world. We describe a case series of COVID-19 patients treated at our academic medical center with focus on cytokine storm and potential therapeutic role of tocilizumab. A 59-year-old female admitted for shortness of breath (SOB), productive cough, fever, and nausea in the setting of COVID-19 pneumonia. Oxygen saturation was 81% necessitating supplemental oxygen. She was transferred to intensive care unit (ICU) for worsening hypoxia; intubated and received tocilizumab following which her oxygen requirements improved. A 52-year-old female admitted from an outside hospital with SOB, intubated for worsening hypoxia, in the setting of COVID-19 pneumonia. She received tocilizumab 400 mg intravenous for 2 doses on ICU admission, with clinical improvement. A 56-year-old female hospitalized with worsening SOB, fever, and cough for 8 days saturating 88% on room air in the setting of COVID-19 pneumonia. Worsening hypoxia necessitated high flow nasal cannula. She was transferred to the ICU where she received 2 doses of tocilizumab 400 mg intravenous. She did not require intubation and was transitioned to nasal cannula. A hyperinflammatory syndrome may cause a life-threatening acute respiratory distress syndrome in patients with COVID-19 pneumonia. Tocilizumab is the first marketed interleukin-6 blocking antibody, and through targeting interleukin-6 receptors likely has a role in treating cytokine storm. We noted clinical improvement of patients treated with tocilizumab.
  • |Antibodies, Monoclonal, Humanized/*therapeutic use[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19/*complications/diagnostic imaging[MESH]
  • |Critical Care[MESH]
  • |Cytokine Release Syndrome/diagnostic imaging/*drug therapy/etiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Lung/diagnostic imaging[MESH]
  • |Middle Aged[MESH]
  • |Oxygen Inhalation Therapy[MESH]
  • |Pennsylvania[MESH]
  • |Receptors, Interleukin-6/*antagonists & inhibitors[MESH]
  • |Respiratory Distress Syndrome/diagnostic imaging/*drug therapy[MESH]
  • |SARS-CoV-2[MESH]


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