Persistent COVID-19: a case report of an immunocompromised patient and a literature review.

Sirine Bekkaoui,Geoffroy Venton, Fannie Bretelle, Victoria Garrido, Victor Chabbert,Stéphane Gayet, Paul Dalmas,Antoine Tichadou,Pierre-André Jarrot,Patrick Villani,Aurélie Daumas,Robin Arcani

Acta haematologica(2024)

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摘要
Introduction Immunocompromised patients can show prolonged shedding of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and persistent symptoms, which is called persistent COVID-19. Case presentation We report a case of an immunocompromised patient who was treated for mantle cell lymphoma and was suffering from B-cell depletion. The patient developed persistent COVID-19, which was confirmed by real-time polymerase chain reaction (RT-PCR) tests in only sputum and bronchoalveolar fluid which remained positive for at least 112 days. The patient was successfully treated with SARS-CoV-2 convalescent plasma. Conclusion It could be of interest to investigate the RT-PCR results of SARS-CoV-2 in sputum/bronchoalveolar lavage samples from immunocompromised patients with unexplained pneumonia.
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