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10.1007/s13730-022-00711-4

http://scihub22266oqcxt.onion/10.1007/s13730-022-00711-4
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35729310!9213214!35729310
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suck abstract from ncbi


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pmid35729310      CEN+Case+Rep 2023 ; 12 (1): 27-31
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  • Use of rituximab in SARS-CoV-2-positive renal transplant recipient with EBV reactivation and probable haemophagocytic lymphohistiocytosis #MMPMID35729310
  • Chan D; Karimi S; Follows G; Torpey N; Suchanek O
  • CEN Case Rep 2023[Feb]; 12 (1): 27-31 PMID35729310show ga
  • We present a case of a rapid clinical recovery in a critically ill kidney transplant recipient with SARS-CoV-2 positivity, Epstein-Barr virus (EBV) reactivation and probable secondary hemophagocytic lymphohistiocytosis (HLH) treated with etoposide-free regimen, based on dexamethasone and a single dose of rituximab. Although rituximab is often a part of EBV-HLH treatment strategy, its use in simultaneous Coronavirus 2019 disease (COVID-19) and solid-organ transplantation has not been reported yet. We review the current evidence for the potential of SARS-CoV-2 to trigger EBV reactivation, leading to a severe clinical illness. Finally, we compare the clinical features of hyper-inflammatory response typical for severe COVID-19 and classical secondary HLH and discuss the benefits of therapeutic B-cell depletion in both conditions.
  • |*COVID-19/complications[MESH]
  • |*Epstein-Barr Virus Infections/complications/diagnosis/drug therapy[MESH]
  • |*Kidney Transplantation[MESH]
  • |*Lymphohistiocytosis, Hemophagocytic/diagnosis/drug therapy/etiology[MESH]
  • |Herpesvirus 4, Human[MESH]
  • |Humans[MESH]
  • |Rituximab/therapeutic use[MESH]


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