Persistent COVID-19 in an immunocompromised patient temporarily responsive to two courses of remdesivir therapy

Research output: Contribution to journalJournal articleResearchpeer-review

The antiviral drug remdesivir has been shown clinically effective for treatment of COVID-19. We here demonstrate suppressive but not curative effect of remdesivir in an immunocompromised patient. A man in his fifties treated with chemoimmunotherapy for chronic lymphocytic leukemia experienced a 9-week course of COVID-19 with high fever and severe viral pneumonia. During two 10-day courses of remdesivir starting 24 and 45 days after fever onset, pneumonia and spiking fevers remitted, but relapsed after discontinuation. Kinetics of temperature, C-reactive protein, and lymphocyte counts mirrored the remitting/relapsing SARS-CoV-2 infection. Combination therapy or longer treatment duration may be needed in immunocompromised patients.

Original languageEnglish
JournalJournal of Infectious Diseases
Volume222
Issue number7
Pages (from-to)1103-1107
Number of pages5
ISSN0022-1899
DOIs
Publication statusPublished - 2020

    Research areas

  • Case report, COVID-19, Immunocompromised, Remdesivir, SARS-CoV-2

ID: 258330405