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Prolonged SARS-CoV-2 Illness in a Patient Receiving Ocrelizumab for Multiple Sclerosis
Author(s) -
Elena Gibson,
Melissa Pender,
Michael Angerbauer,
Craig Cook,
Barbara Jones,
Adam M. Spivak,
Emily S Spivak,
Sankar Swaminathan
Publication year - 2021
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofab176
Subject(s) - medicine , ocrelizumab , multiple sclerosis , covid-19 , viral shedding , coronavirus , immunology , monoclonal antibody , virology , disease , antibody , infectious disease (medical specialty) , rituximab
We describe a case of prolonged severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in a patient receiving ocrelizumab for multiple sclerosis. Viral RNA shedding, signs, and symptoms persisted for 69 days with resolution after administration of convalescent plasma and antiviral therapy. This case suggests risk for persistent SARS-CoV-2 infection in patients treated with anti-CD-20 monoclonal antibodies and supports a role for humoral immunity in disease resolution.

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