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10.1016/j.intimp.2021.107891

http://scihub22266oqcxt.onion/10.1016/j.intimp.2021.107891
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34153671!8200303!34153671
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suck abstract from ncbi


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pmid34153671      Int+Immunopharmacol 2021 ; 98 (ä): 107891
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  • A single center experience of intravenous immunoglobulin treatment in Covid-19 #MMPMID34153671
  • Omma A; Erden A; Armagan B; Guven SC; Karakas O; Sahiner ES; Erdem D; Izdes S; Ates I; Kucuksahin O
  • Int Immunopharmacol 2021[Sep]; 98 (ä): 107891 PMID34153671show ga
  • BACKGROUND: Intravenous immunoglobulins (IVIg) have been used in management of severe Covid-19. Here in this study, we report our single-center experience regarding IVIg treatment in management of severe Covid-19. MATERIALS AND METHOD: Among hospitalized adult Covid-19 patients between April 1 and December 31, 2020, patients with confirmed diagnosis of Covid-19 who had Brescia-COVID respiratory severity scale score >/= 3, hyperinflammation and received IVIg treatment in addition to standard of care were retrospectively investigated. We grouped IVIg recipients into three according to reasons for IVIg administration: Group 1 patients requiring anti-inflammatory treatment but complicated with secondary infection and/or sepsis , group 2 patients with Covid-19 related complications including progressive disease refractory to other anti-inflammatory agents, myocarditis, adult multisystem inflammatory syndrome, hemophagocytic lymphohystiocytosis like syndrome and group 3 patients with other complications non-specific to Covid-19. Mortality and clinical data was compared among groups. RESULTS: A total of 46 IVIg recipients were enrolled. Group 1 comprised 17 (36.9%), group 2 comprised 18 (39.1%) and group 3 comprised 11 (23.9%) patients. No significant differences in means of age, gender and comorbidities were observed among groups. Mortality was significantly lower in group 3 when compared to group 1 (64.7% vs 18.2%, p = 0.016) and close to significance when compared to group 2 (50% vs 18.2% p = 0.087). CONCLUSIONS: IVIg seemed to be used mostly in severe, refractory and complicated cases in our population. As a rescue agent in severe cases refractory to other anti-inflammatory strategies, 33.7% survival rate was observed with IVIg.
  • |*COVID-19 Drug Treatment[MESH]
  • |Administration, Intravenous[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/diagnosis/mortality/virology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunoglobulins, Intravenous/*administration & dosage/adverse effects[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Retrospective Studies[MESH]
  • |Severity of Illness Index[MESH]
  • |Time Factors[MESH]
  • |Treatment Outcome[MESH]


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