Convalescent (immune) plasma treatment in a myelodysplastic COVID-19 patient with disseminated tuberculosis

Transfus Apher Sci. 2020 Oct;59(5):102821. doi: 10.1016/j.transci.2020.102821. Epub 2020 May 29.

Abstract

During the ongoing COVID-19 pandemic due to the SARS-CoV-2 virus of which evidence-based medical paradigms cannot be easily applied; difficult clinical decisions shall be required particularly in the 'difficult-to-treat' cases of high risk group with associated comorbidities. Convalescent immune plasma therapy is a promising option as a sort of 'rescue' treatment in COVID-19 immune syndrome, where miraculous antiviral drugs are not available yet. In this report, we aim to convey our experience of multi-task treatment approach with convalescent immune plasma and anti-cytokine drug combination in a COVID-19 patient with extremely challenging comorbidities including active myeloid malignancy, disseminated tuberculosis and kidney failure.

Keywords: COVID-19; Convalescent; Myelodysplastic; Plasmapheresis; Tuberculosis.

Publication types

  • Case Reports

MeSH terms

  • Body Temperature
  • COVID-19 / complications*
  • COVID-19 / diagnostic imaging
  • COVID-19 / immunology
  • COVID-19 / therapy*
  • COVID-19 Serotherapy
  • Humans
  • Immunization, Passive
  • Lymphocyte Count
  • Male
  • Middle Aged
  • Myelodysplastic Syndromes / complications*
  • Myelodysplastic Syndromes / diagnostic imaging
  • Myelodysplastic Syndromes / virology*
  • SARS-CoV-2 / physiology
  • Tomography, X-Ray Computed
  • Tuberculosis / complications*
  • Tuberculosis / diagnostic imaging
  • Tuberculosis / virology*