COVID-19-Associated Pneumonia in a B-Cell-Depleted Patient With Non-Hodgkin Lymphoma: Recovery With Hyperimmune Plasma

Daniele Colombo, Arianna Gatti, Patrizia Alabardi, Daniela Bompane, Giorgio Bonardi, Nicola Mumoli, Paola Faggioli, Pierangelo Clerici, Bruno Brando, Antonino Mazzone

Abstract


Coronavirus disease 2019 (COVID-19) can have a severe course in immunocompromised hosts and patients with hematological malignancies. In some cases, the bad prognosis is associated with the lack of B lymphocytes, with impaired antibody production and inefficient viral clearance. We report a case of a 67-year-old woman with a story of non-Hodgkin lymphoma treated with R-CHOP (rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone), who got a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection while being totally depleted of B cells. This condition has determined a severe and prolonged course of COVID-19, with persistently positive nasopharyngeal molecular swabs and lack of anti-SARS-CoV-2 specific antibodies. The clinical recovery was favored by the administration of convalescent hyperimmune plasma.




J Hematol. 2022;11(2):77-80
doi: https://doi.org/10.14740/jh845

Keywords


COVID-19; Convalescent plasma; Rituximab; SARS-CoV-2 swab; Anti-SARS-CoV-2 antibodies

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Journal of Hematology, bimonthly, ISSN 1927-1212 (print), 1927-1220 (online), published by Elmer Press Inc.                            
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