We described the case of a patient affected by activated PI3K-kinase delta syndrome (APDS) and a long-lasting and pauci-symptomatic SARS-CoV-2 infection, treated with multiple therapeutic agents including remdesivir and SARS-CoV-2-neutralizing monoclonal antibodies. We detected the clearance of the virus 105 days from the first positive swab and 7 days after monoclonal antibody administration. At genotyping, the SARS-CoV-2 virus resulted as wild type on all samples tested. This case shows the monoclonal antibodies' good tolerability and efficacy in reducing viral shedding in long-lasting infections refractory to other treatments.

Rivalta, B., Amodio, D., Giancotta, C., Santilli, V., Pacillo, L., Zangari, P., et al. (2022). Case Report: Successful Treatment With Monoclonal Antibodies in One APDS Patient With Prolonged SARS-CoV-2 Infection Not Responsive to Previous Lines of Treatment. FRONTIERS IN IMMUNOLOGY, 13, 891274 [10.3389/fimmu.2022.891274].

Case Report: Successful Treatment With Monoclonal Antibodies in One APDS Patient With Prolonged SARS-CoV-2 Infection Not Responsive to Previous Lines of Treatment

Amodio D.;Cotugno N.
Membro del Collaboration Group
;
Finocchi A.;Colagrossi L.;Perno C. F.;Cancrini C.;Palma P.
2022-01-01

Abstract

We described the case of a patient affected by activated PI3K-kinase delta syndrome (APDS) and a long-lasting and pauci-symptomatic SARS-CoV-2 infection, treated with multiple therapeutic agents including remdesivir and SARS-CoV-2-neutralizing monoclonal antibodies. We detected the clearance of the virus 105 days from the first positive swab and 7 days after monoclonal antibody administration. At genotyping, the SARS-CoV-2 virus resulted as wild type on all samples tested. This case shows the monoclonal antibodies' good tolerability and efficacy in reducing viral shedding in long-lasting infections refractory to other treatments.
2022
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/38 - PEDIATRIA GENERALE E SPECIALISTICA
English
APDS
COVID19
IEI
SARS-CoV-2
activated PI3K delta syndrome (APDS)
long-lasting infection
monoclonal antibody
remdesivir
Rivalta, B., Amodio, D., Giancotta, C., Santilli, V., Pacillo, L., Zangari, P., et al. (2022). Case Report: Successful Treatment With Monoclonal Antibodies in One APDS Patient With Prolonged SARS-CoV-2 Infection Not Responsive to Previous Lines of Treatment. FRONTIERS IN IMMUNOLOGY, 13, 891274 [10.3389/fimmu.2022.891274].
Rivalta, B; Amodio, D; Giancotta, C; Santilli, V; Pacillo, L; Zangari, P; Cotugno, N; Manno, Ec; Finocchi, A; Bernardi, S; Colagrossi, L; Gentile, L; Russo, C; Perno, Cf; Rossi, P; Cancrini, C; Palma, P
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/311145
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